by Charles
CONSENT WORDING FOR ISBCS
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What wording should be used for consent form for ISBCS?
My wording for potential complications reads:
“Pain / Bleeding / Infection (1 in 1,000) / Residual Refractive Error / Corneal &/or Vitreo-retinal problems / Worse Vision / Bilateral Blindness / Death”
I have used this wording (without specifying the infection rate) for unilateral refractive lens exchange and cataract surgery in the private and state sector for the past 5 years; no patient has ever objected.
Any comments?
I say to my patients that “statistically, the risk for any complication after successful surgery can be estimated to about 1/14 – e.g., irritation, light sensitivity. The risk for a serious postoperative complication, e.g. inflammation, infection, retinal detachment etc that will affect the visual outcome, and in the worst case lead to blindness, is less than 1/1000 after an uncomplicated operation. This risk is balanced against the benefits with ISBCS.”
Around one in 50-100 of my patients after this information prefers DSBCS, the rest go for ISBCS.