The following is a summary of “Refractive Cataract Surgery Survey (RCSS): A Validated Questionnaire for Quick Clinical Use,” published in the April 2025 issue of Clinical Ophthalmology by Coleman III et al.
Researchers conducted a retrospective study to validate an efficient and reliable instrument for measuring postoperative performance and satisfaction in refractive cataract surgery.
They developed a 10-question survey to evaluate satisfaction and functional outcomes in refractive cataract surgery. The survey consisted of 7 questions rated on a 1–10 scale and 3 yes/no questions. Internal consistency was assessed using Cronbach’s alpha. Correlations between survey responses and visual acuity measurements, including binocular uncorrected distance visual acuity (BUDVA) and binocular uncorrected near visual acuity (BUNVA), were analyzed. Factor analysis was performed to identify the constructs measured by the survey.
The results showed that 477 eyes from 240 individuals were analyzed, including 234 AcrySof PanOptix, 53 AcrySof IQ Vivity, 88 TECNIS Eyhance, and 102 AcrySof Aspheric Monofocal intraocular lenses (IOLs). Cronbach’s alpha (0.785) demonstrated moderate to strong internal consistency. Significant correlations were observed between visual acuity and satisfaction for distance vision (r = 0.256, P < 0.001) and near vision (r = 0.195, P < 0.001). A significant model (R2 = 0.350, F (7, 474) = 35.86, P < 0.001) identified quality of near vision (β = 0.188, P < 0.001), glasses independence (β = 0.116, P < 0.05), and lens choice (β = 0.434, P < 0.001) as key predictors for IOL selection.
Investigators concluded that the Refractive Cataract Surgery Survey (RCSS) was an efficient and reliable tool for assessing patient satisfaction and performance in refractive cataract surgery and that near vision quality and glasses independence significantly predicted lens choice satisfaction.
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