Cataract patient-reported outcome measures (PROMs): which clinical parameters negatively influence the quality of vision experienced after surgery?

Session Details

Session Title: Quality of Vision Evaluation

Session Date/Time: Tuesday 17/09/2019 | 16:30-18:00

Paper Time: 16:48

Venue: Free Paper Forum: Podium 4

First Author: : B.Zijlmans THE NETHERLANDS

Co Author(s): :    A. Knitel   Y. Sharifi   C. Storimans   L. Ugahary   M. Manzulli                 

Abstract Details

Purpose:

Aim of this study is to understand which clinical parameters could negatively influence the quality of vision experienced by patients after cataract surgery in contrast to a significant improvement in visual acuity

Setting:

All patients had cataract surgery between january 2017 and may 2018 in the Rotterdam Eye Hospital

Methods:

Cataract patient-PROMs, Catquest-9SF data of 416 patients ( collected in questionnaires completed before and 3 months after surgery ) were compared with clinical data recorded in the Dutch Ophthalmological Society quality register and put in the ICHOM database. For further analyses we divided the patients in 4 groups: 1. improvement in PROMs and postoperative visual acuity (n=326) 2. improvement in PROMs and worsening in postoperative visual acuity (n=14) 3. worsening in PROMs, but improvement in postoperative visual acuity (n=45) 4. worsening in PROMs and in postoperative visual acuity (n=6)

Results:

In this study we looked for explanations for the worsening in PROMs for the patients in group 3. The presence of comorbidity had a significant effect on the quality of vision as experienced by the patient, notwithstanding an improvement in postoperative visual acuity. The percentage of patients with ocular comorbidity was higher in group 3 (50%) than in group 1 (43,7%), but the difference in percentages is not significant (p>0.05). The effects of neither peri- and post-operative complications nor the fact that surgery was performed in both eyes had a significant effect on the experienced quality of vision.

Conclusions:

Our results reiterate the importance of the cataract patients' PROMs. Careful analysis of those data helps clinicians to better understand which parameters can influence the "visual function" result and how we can help to develop more realistic expectations.

Financial Disclosure:

None