Abstract
Purpose To investigate the effect of patient counselling together with the use of information leaflets on the number of return visits for patients with acute, symptomatic, uncomplicated posterior vitreous detachment (PVD).
Methods The study group comprised the first 50 patients diagnosed with uncomplicated PVD in 1998 when a standard protocol of structured patient counselling and leaflet distribution was employed following diagnosis of PVD. The control group comprised the first 50 patients in 1997 diagnosed with uncomplicated PVD before structured patient counselling was in place. A retrospective analysis of casualty case notes was made comparing the two groups. The number of eye casualty attendances within 1 year of first presentation with PVD was compared in the two groups.
Results Seven patients from the control group returned because of photopsia or floaters; 3 of the 7 returned with no change in their original symptoms. Six patients from the study group returned. All had a definite change in their symptoms of photopsia or floaters. No patient in the study group who returned had old or persistent symptoms. Statistical analysis comparing return visits of patients with no change in symptoms in the two groups by Fisher's Exact Test gave a p value of 0.13.
Conclusion Patients counselled following uncomplicated PVD did not return to eye casualty in the absence of new symptoms. Patient counselling is an important part of the management of PVD because it makes patients aware of which symptoms are important predictors of serious vitreoretinal pathology.
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Richardson PS, Benson MT, Kirkby GR . The posterior vitreous detachment clinic: do new retinal breaks develop in the six weeks following an isolated symptomatic posterior vitreous detachment? Eye 1999;13:373–40.
Diamond JP . When are simple flashes and floaters ocular emergencies? Eye 1992;6:102–4.
Byer NE . Natural history of posterior vitreous detachment with early management as the premier line of defense against retinal detachment. Ophthalmology 1994;101:1503–14.
Dayan MR, Jayamanne DG, Andrews RM, Griffiths PG . Flashes and floaters as predictors of vitreoretinal pathology: is follow-up necessary for posterior vitreous detachment? Eye 1996;10:456–8.
Kakerashi A, Inoda S, Shimizu Y, Makino S, Shimizu H . Predictive value of floaters in the diagnosis of posterior vitreous detachment. Am J Ophthalmol 1998;125:113–5.
Sharma S, Walker R, Brown GC, Cruess AF . The importance of qualitative vitreous examination in patients with an acute posterior vitreous detachment. Arch Ophthalmol 1999;117:343–6.
Novak MA, Welch RB . Complications of acute symptomatic posterior vitreous detachment. Am J Ophthalmol 1984;97:308–14.
Hikichi T, Trempe CL . Relationship between floaters, light flashes, or both, and complications of posterior vitreous detachment. Am J Ophthalmol 1994;117:593–8.
Kanski JJ . Complications of acute posterior vitreous detachment. Am J Ophthalmol 1975;80:44–6.
Pringle M, Laverty J . A counsellor in every practice. BMJ 1993;306:2–3.
McFarland N . Primary health care. Counselling: a reassuring practice. Nurs Stand 1990;4:47–8.
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Presented as a poster at the Royal College of Ophthalmologists Annual Congress, Harrogate, May 2000
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Singh, A., Seemongal-Dass, R. The influence of counselling on patient return following uncomplicated posterior vitreous detachment. Eye 15, 152–154 (2001). https://doi.org/10.1038/eye.2001.50
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DOI: https://doi.org/10.1038/eye.2001.50