Abstract
To analysis the effectiveness of different procedure of nursing coordination for phacoemulsification combined with intraocular lens implantation (IOL) surgery. Forty patients who received phacoemulsification combined with intraocular lens implantation surgery from Feb, 2014 to Sep, 2015 in the department of Ophthalmology in the First Affiliated Hospital of Jinan University were recruited for analysis. Patients were divided into two groups randomly: 20 patients with usual nursing procedure (the control group) and 20 patients in improved nursing procedure (the experimental group). The following parameters were collected: intraoperative swelling pain of the eye, operation time, complications of conjunctiva and cornea 1 and 7 days after the surgery, the position of IOL, intraocular pressure, visual acuity and the satisfactory level of surgeon and patients. The significant differences between the two groups were analysis by SPSS 19.0. Compared with the control group, the improved nursing coordination procedure showed less intraoperative swelling pain of the eye, shorter operation time, reduced corneal edema rate 1 day after the surgery, greater satisfaction of both the surgeons and patients. The improved nursing coordination procedure suggests success and safety of this combined surgery by shortening the operation time, reducing postoperative complications and improving the satisfaction of doctors and patients.
Highlights
High myopia, defined as an eye axial length greater than 26 mm and spherical equivalent -6.00 diopers (D) [1], affects the entire eye [2]
High myopia related cataract will lead to severe low vision or even blindness, greatly impacting the quality of patients’ living life [10]
There is still lacking nursing protocols which aim at the high myopia patients with phacoemulsification
Summary
High myopia, defined as an eye axial length greater than 26 mm and spherical equivalent -6.00 diopers (D) [1], affects the entire eye [2]. High myopia related cataract (HMC) is typically characterized by dark nuclei rather than other types of lens opacity [8, 9]. High myopia related cataract will lead to severe low vision or even blindness, greatly impacting the quality of patients’ living life [10]. Phacoemulsification combined with intraocular lens implantation is the prior option to cure the disease [11, 12]. The therapeutic effects of this combined surgery depends on the nursing pattern and procedure. There is still lacking nursing protocols which aim at the high myopia patients with phacoemulsification. We collected 4o patients with high myopia cataract underwent phacoemulsification and applied two different nursing coordination procedure during the operation, to provide evidences for formulating surgical coordination protocol of these patients
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