"Comparing outcomes of advanced nurse practitioners to ophthalmologists performing posterior YAG capsulotomy, a six-year study of 6308 eyes".
Author
Moussa, George
KALOGEROPOULOS, DIMITRIOS

Ch'ng, Soon

Panthagani, Jesse

Abdel-Karim, Ziad
Andreatta, Walter
Affiliation
Sandwell and West Birmingham NHS Trust; University of Ioannina; Kantonsspital Winterthur; University of ZurichPublication date
2022-02-28Subject
Ophthalmology
Metadata
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Purpose: To primarily report the baseline characteristics and visual acuity (VA) outcomes of advanced nurse practitioners (ANP) compared to ophthalmologists following YAG posterior capsulotomy (YAGPC). We secondarily looked to characterise the risk factors that lead to a repeated YAGPC. Method: Retrospective consecutive case series of 6,308 eyes attending the Birmingham and Midlands Eye Centre. Results: ANPs performed 33.1% of YAGPC compared to 66.9% ophthalmologists. Compared to ophthalmologists, ANPs performed YAGPC in lower proportion of patients with ocular co-morbidities (p < 0.001) and had lower proportion of patients requiring further YAGPC compared to ophthalmologists (p < 0.001). Median pre, post-operative and LogMAR gain in VA of 0.48 (IQR 0.30-0.78), 0.18 (IQR 0.10-0.40) and 0.30 (0.08-0.48) LogMAR units, respectively. Multivariate regression showed that ANPs had a significantly lower rate of repeat YAGPC compared to ophthalmologists even when adjusting for age, ethnicity, training grade and ocular co-morbidities. No difference in visual outcomes was found between operator grade and ethnicity on multivariate analysis. Conclusion: YAGPC leads to excellent visual outcomes. ANPs can deliver safe and effective YAGPC.Citation
Moussa G, Kalogeropoulos D, Ch'ng SW, Panthagani J, Abdel-Karim Z, Andreatta W. "Comparing outcomes of advanced nurse practitioners to ophthalmologists performing posterior YAG capsulotomy, a six-year study of 6308 eyes". Eye (Lond). 2023 Feb;37(3):554-559. doi: 10.1038/s41433-022-01986-8.Type
ArticlePMID
35228691Journal
EyePublisher
Springer Natureae974a485f413a2113503eed53cd6c53
10.1038/s41433-022-01986-8