ESCRS - PP01.11 - Clearlog: A New Software And App For Cataract Surgeons To Register Cataract Surgical Data, Analyse Results, Optimise Outcomes And Improve Patient Satisfaction.

Clearlog: A New Software And App For Cataract Surgeons To Register Cataract Surgical Data, Analyse Results, Optimise Outcomes And Improve Patient Satisfaction.

Published 2022 - 40th Congress of the ESCRS

Reference: PP01.11 | Type: Free paper | DOI: 10.82333/htah-px72

Authors: Mohammed Muhtaseb* 1

1Ophthalmology,NHS, University of South Wales, and Private Practice,Cardiff,United Kingdom

Purpose

To present a new and versatile registry and analysis software for cataract and refractive lens exchange surgeons involved in clinical practice and/or clinical research. To demonstrate the software which is web-based and a mobile app, can be used to assist regualtory requirements such as appraisal, and provide detailed analyses to support patient counselling, consent, presenting data at conferences, and for preparing papers for peer review.

Setting

Private practice in the UK

Methods

The software was used by a single surgeon to log cataract and refractive lens exchange activity and analyze the results of the surgery in a robust and sophisticated way. It was used to record all routine activity over a 24-month period and analyze the outcomes. Captured data could be the minimum needed to report on key performance measures such as complication rates, refractive accuracy, vision loss, etc; or very detailed to allow for versatile multi-factorial analysis and graphical representation of the results combining objective and subjective outcomes analysis, & outcomes over time. The software was used to analyze data & generate reports used in papers at international conferences. 

Results

The software was easy to use, intuitive, and produced a variety of outcomes reports. Essential reports include posterior capsule rupture rate (by risk stratification), refractive outcome accuracy, loss of best visual acuity, & post-op cumulative visual acuity. Custom reports can be prepared with multiple levels of filtering to allow bespoke & robust data analysis. Time-lapse reports show outcome evolution over time, with analysis of 1 or 2 parameters in a single graph. Patient reported outcomes and satisfaction could be recorded and analyzed, including perception & severity of halos and glare, independence from spectacles, satisfaction with vision, and willingness to make a recommendation

Conclusions

This new software can be used as a web-based tool or an App. It is easy to use, allows fast data entry while in the office or the OR, and produces rapid outcomes analysis.  It is a useful new opportunity for surgeons to easily record their surgical activity, analyze the results, inform the continual process of optimizing patient outcomes, and meet regulatory requirements. The software can be used for patient counselling and individualised consent. It can also be utlised for preparation of materials for teaching, presentations at meetings and conferences, and for preparing papers for peer review.