Insight, The Journal of ASORN ASORN Insight 2018 Q3 - Page 30

28 2018 Membership Promotion Is someone you know a new RN or a RN new to ophthalmology? ASORN’s 2018 membership promotion provides a discounted first-year ASORN membership to RN’s within 0-2 years of nursing practice, or RN’s within 0-2 years in ophthalmic nursing practice. Get more information: www.asorn.org/ membership/2018memberpromo Alan Sugar, MD p r o f e s s i o n a l d i r e c t i o n s Comments on the PROWL Studies of Patient-Reported Outcomes of LASIK THE PROWL (Patient Reported Outcomes with LASIK) studies developed and with the National Eye Institute, FDA, and validated an online questionnaire that Department of Defense to develop a was completed before and after LASIK survey questionnaire to assess subjec- surgery. Patient satisfaction was very tive outcomes, the Patient Reported high (96%–99%). There were high rates Outcomes with LASIK (PROWL) studies of glare, starburst, and halos (74%) (Eydelman & Tarver, 2017). preoperatively, which diminished postop- eratively (41%). New-onset visual symp- toms developed in over 40% of survey participants, and new dry eye symptoms in 28%. These symptoms were gener- ally mild and improving. Visual symptom reporting was much higher (41%) in the online survey than during clinic visits (7%). Introduction Laser-assisted in situ keratomileusis (LASIK) has been a U.S. Food and Drug Administration (FDA) approved procedure since 1999. While initially controversial, this procedure to cor- rect refractive errors with excimer laser ablation beneath a corneal flap has been steadily improving and has gained wide acceptance (Schallhorn et al., 2008). Although there have been limited reports on post-LASIK quality-of-life measures, the vast majority of the outcomes reported have been details of visual acu- ity and refraction. Because of occasional patient dissatisfaction and the lack of patient-reported outcome (PRO) data, ASORN INSIGHT Summer 2018 a study was designed in collaboration The studies addressed two populations having LASIK surgery. The PROWL-1 study tested the questionnaire on U.S. Navy personnel, and the PROWL-2 study tested the questionnaire on civil- ians undergoing LASIK in multiple prac- tices. Questionnaires were completed through the internet before and 1 and 3 months after LASIK in both groups and at 6 months in PROWL-1. The question- naire, which can be accessed at http:// www.fda.gov/LASIK, assessed visual symptoms, dry eye symptoms, and subject satisfaction. The preoperative questionnaire used 154 questions, and the postoperative questionnaire used 112 questions. Each took about 20 minutes to complete. The validity of the questionnaires was confirmed (Hays et al., 2017). Findings As expected, both studies confirmed high satisfaction (96%) with LASIK at 3 months. The most interesting findings were the development of new symptoms