RCT of Follow up Following Cataract Extraction

Method:

The method presented is based on the method employed successfully by one of the applicants in an earlier stuy of the first day postoperative review following cataract surgery which has been peer-reviewed and published in the scientific literature. An earlier draft has been presented to a patient panel and has the benefit of external review by a potential steering group.

Patients undergoing routine elective phacoemulsification cataract surgery will be randomly assigned to either a routine review at 4-6 weeks post-operatively (routine care) or to be discharged from the cataract service immediately post-operatively. All patients will be advised to see their own optometrist at 4-6 weeks for new spectacles if appropriate and will then be reviewed in a research clinic at 3 months post operatively.

Inclusion criteria

• Adults Aged >= 40 years
• Scheduled for day-case cataract surgery
• Able to give informed consent

Exclusion criteria

• Unable to provide written informed consent
• Unable to visit their optometrist post operatively
• Patients with ocular comorbidity that may be affected by cataract surgery or who require monitoring within three months of their operation (including significant diabetic retinopathy, wet age-related macular degeneration (AMD) on treatment, severe/end-stage glaucoma, previous retinal detachment or vitrectomy)
• Patients undergoing another simultaneous ophthalmic procedure
• Patients who suffer from an intra-operative complication requiring early postoperative evaluation (identified at surgery).