The impact of an objective visual assessment tool on surgeon understanding and decision-making in intraocular lens surgery

Session Details

Session Title: Advanced Optic IOLs

Session Date/Time: Tuesday 17/09/2019 | 08:30-10:30

Paper Time: 10:14

Venue: Free Paper Forum: Podium 1

First Author: : T.Schultz GERMANY

Co Author(s): :    B. Dick   M. Elling   T. Schmidt   M. Maus                    

Abstract Details

Purpose:

The objective of this multicenter feasibility study is to determine if the and design of the Visual Behavior Monitor (VBM, Vivior AG, Zurich, Switzerland) is acceptable to patients, surgeons and clinic staff. The purpose of this analysis was to determine if the VBM results had an impact on surgeons’ decision-making process.

Setting:

Five prospective, feasibility sites in Ireland, Germany and Switzerland

Methods:

The VBM is capable of objectively assessing the wearer’s lifestyle and visual requirements by recording the measuring distance at which an activity is performed, i.e., reading or computer use, as well as lighting conditions and head movement along three axes. Surgeons at the participating feasibility sites were asked to complete a questionnaire that assessed if the VBM helped them to better understand patient behaviour, reduce chair time, as well as if it influenced treatment decision making.

Results:

72 questionnaires were available for the1st analysis, completed by 6 surgeons at 4 sites. Cataract patients made up the largest percentage of patients enrolled (69%). All surgeons agreed that the VBM results provided them with a better understanding of patient behaviour (76% strongly agreed, 24% agreed). The surgeons also agreed that the VBM influenced their decision making (75% strongly agreed, 22% agreed) (One surgeon with 2 cases disagreed [3%].) On the reduction of chair time, surgeons agreed in 46% of cases and strongly agreed in 24% of patients, with one surgeon (N=2, 3%) disagreeing.

Conclusions:

These initial results from this multi-center feasibility study demonstrate that the VBM objective analysis of patients’ lifestyle and visual requirements can positively influence a surgeons decision making, with the aim to improving patient satisfaction and visual outcomes.

Financial Disclosure:

None