Our Summary

This research paper studied how doctors explain the consent process for a specific type of eye surgery (strabismus surgery) to their patients. The researchers observed that different doctors gave varying information about the potential risks and chances of complications from the surgery. To make this process more consistent, the researchers suggest using a reference table that lists the rates of complications, which can be used when obtaining consent from patients.

FAQs

  1. What is the consent process for strabismus surgery?
  2. What are the potential risks and complications of strabismus surgery?
  3. How can a reference table with complication rates be used during the consent process for strabismus surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about strabismus surgery is to be aware of the potential risks and complications associated with the procedure. It is important for the patient to have a thorough understanding of what to expect before undergoing surgery. The doctor may also advise the patient to follow post-operative care instructions carefully to ensure a successful outcome.

Suitable For

Patients who are typically recommended strabismus surgery are those who have a misalignment of the eyes that is causing symptoms such as double vision, eye strain, or difficulty with depth perception. These patients may have tried other treatments such as glasses, vision therapy, or Botox injections with limited success. Candidates for strabismus surgery may also include those with a significant cosmetic misalignment of the eyes that is causing social or self-esteem issues. Additionally, patients with a large angle of deviation or a history of recurrent eye misalignment may be recommended for surgery to correct the issue.

Timeline

Before strabismus surgery:

  1. Patient visits an ophthalmologist for a consultation and evaluation of their eye misalignment.
  2. Ophthalmologist discusses treatment options, including the possibility of strabismus surgery.
  3. Patient undergoes pre-operative testing and evaluations to ensure they are a suitable candidate for surgery.
  4. Patient is informed of the potential risks and complications associated with strabismus surgery during the consent process.

After strabismus surgery:

  1. Patient undergoes the surgical procedure, which may involve tightening or loosening of eye muscles to correct the misalignment.
  2. Patient is monitored closely in the immediate post-operative period for any signs of complications such as infection or excessive bleeding.
  3. Patient may experience discomfort, redness, and swelling in the eye area following surgery.
  4. Patient follows post-operative instructions provided by the ophthalmologist, including the use of eye drops and avoiding strenuous activities.
  5. Patient attends follow-up appointments to monitor their progress and ensure the success of the surgery in correcting the eye misalignment.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with strabismus surgery?
  2. How successful is strabismus surgery in correcting the misalignment of the eyes?
  3. What is the recovery process like after strabismus surgery?
  4. Are there any alternative treatments or approaches to strabismus surgery that I should consider?
  5. How many strabismus surgeries have you performed, and what is your success rate?
  6. What is the expected outcome of strabismus surgery in my specific case?
  7. How long will the effects of strabismus surgery last?
  8. Are there any long-term implications or risks associated with strabismus surgery?
  9. What can I expect in terms of post-operative care and follow-up appointments?
  10. Are there any lifestyle changes or precautions I should take after strabismus surgery?

Reference

Authors: May C, Silverstein E. Journal: J Binocul Vis Ocul Motil. 2024 Apr-Jun;74(2):75-77. doi: 10.1080/2576117X.2024.2352176. Epub 2024 May 28. PMID: 38805021