Clinician, patient-reported outcome measures important when evaluating cataract surgery outcomes

Most patients experience improved functional vision after cataract surgery, although it can be limited by ocular comorbidities and complications, according to a study.

Clinician-reported outcome measures (CROMs) and patient-reported outcomes (PROMs) should both be considered when evaluating cataract surgery outcomes, the authors said.

In this prospective non-interventional multicenter observational descriptive study, the clinical outcomes of patients undergoing cataract surgery were analyzed. Clinician-reported outcome measures included 3-month postoperative visual acuity and refraction data whereas PROMs included Rasch-calibrated item 2 (RCCQ2) and total Catquest-9SF score (CQ).

In 88.7% of eyes (2505/2823), postoperative corrected distance visual acuity (CDVA) was 0.3 logMAR or better. The mean differences between preoperative and postoperative RCCQ2 scores were −3.09 and mean differences between preoperative and postoperative CQ scores were −2.39.

Overall, 91.5% (2163/2364) of patients reported improvements in visual function with surgery.

Statistically significant correlations of postoperative CDVA with postoperative refraction, PROMs, and complications were found.

Reference
Zijlmans BL, van Zijderveld R, Manzulli M, et al. Global multi-site, prospective analysis of cataract surgery outcomes following ICHOM standards: the European CAT-Community. Graefes Arch Clin Exp Ophthalmol. 2021; DOI:https://doi.org/10.1007/s00417-021-05181-5