Publication

Only eye study 3 (OnES 3): a qualitative study into how surgeons approach surgery in patients with only one seeing eye.

Whyte, Jonathan P
; 
Lee, Graham
; 
Jones, Lee
; 
Shah, Peter
Abstract
Objective: Performing surgery on an 'only eye' patient is considered high stakes. The purpose of this study is to explore the process of only eye surgery from the perspective of ophthalmic surgeons and improve both patient and surgeon experience. Design, setting and participants: A cohort of 76 Australian consultant ophthalmologists, divided into three focus groups, were recruited via online webinar to participate in a guided focus group discussion about only eye surgery. Qualitative data regarding participant experience of performing only eye surgery were collected in audio and text form. Thematic analysis was conducted to identify patterns in the data. Main outcome measure: Identification of themes relevant to only eye surgery. Results: Five overarching themes relevant to only eye surgery were identified: (1) differences in the surgical decision-making process; (2) differences in the approach to consent, (3) implementation of additional risk reduction strategies, (4) value of having colleagues to discuss and plan surgery with and (5) psychological challenges. A divergent theme was identified: (6) that all surgery, only eye or not, should be treated the same. Conclusions: This study identifies challenges associated with clinical management of only eye patients across their surgical journey. A conceptual framework to guide surgeons when managing only eye patients is provided which has potential to promote a more unified approach to treating this high-stakes cohort.
MIDER Authors
Jones, Lee
Shah, Peter
Citations
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Date
2022-12-13
Type
Article
Subject
Ophthalmology
Collections
UHB General Surgery
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Citation
Whyte JP, Lee G, Jones L, Shah P. Only eye study 3 (OnES 3): a qualitative study into how surgeons approach surgery in patients with only one seeing eye. BMJ Open. 2022 Dec 13;12(12):e064597. doi: 10.1136/bmjopen-2022-064597
Journal / Source Title
BMJ Open
DOI
10.1136/bmjopen-2022-064597
URI
http://hdl.handle.net/20.500.14200/2264
PMID
36523228
Publisher
BMJ Publishing Group
Publisher’s URL
https://www.ncbi.nlm.nih.gov/pmc/journals/1609/
https://www.ncbi.nlm.nih.gov/pmc/journals/1609/
Publisher’s statement
Note / Copyright