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Vienna 2018 Delegate Registration Programme Exhibition Virtual Exhibition Satellites 2018 Survey


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Consent process in refractive surgery: comparison of in-person vs telemedicine approach

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Session Details

Session Title: Vision & Accommodation Assessment

Session Date/Time: Monday 24/09/2018 | 14:00-16:00

Paper Time: 14:42

Venue: Room A3, Podium 2

First Author: : S.Hannan UK

Co Author(s): :    D. Teenan                    

Abstract Details


To compare patient's perception of consent quality between patients who had in person consent discussion and those who had a remote (telephone) discussion with their treating surgeon.


Optical Express, Glasgow, UK


This retrospective study included 4,940 laser vision correction (LVC) patients and 1,668 refractive lens exchange (RLE) patients who attended 1-day and 1-months postoperative examination and completed a patient experience questionnaire. Preoperatively, all patient underwent a thorough examination and discussion with a trained refractive optometrist and watched a video consent. Patient’s then had a choice to either meet their treating surgeon in person (‘in-clinic’ group) or have a telephone discussion with him (‘remote’ group). Preoperative and postoperative clinical outcomes and questionnaire outcomes were compared between the two groups of patients.


Preoperatively, 82.1% of LVC and 56.8% RLE patients chose to have a remote discussion. Patients who opted for in-clinic discussion were older and had higher refractive errors. One month postoperatively, 97.1% of ‘in-clinic’ LVC patients and 98.4% of ‘remote’ LVC patients indicated they were satisfied with consent process (p=0.02). In RLE group, the percentage of patients satisfied with consent quality was 98.3% for both, ‘in-clinc’ and ‘remote’ group (p=0.98). Patients who indicated they were not consented properly were those who had poor outcome, were dissatisfied with vision or experienced significant visual phenomena or dry eye.


Majority of refractive patients preferred a remote discussion with their treating surgeon. Satisfaction with consent quality was high and remote surgeon discussion is a viable option for patients who underwent prior consultation with a refractive optometrist and watched a video consent.

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