Multicentre Correlation Analysis Of Parameters Influencing Patient Satisfaction: Insights From The Raypro Database
Published 2024 - 42nd Congress of the ESCRS
Reference: FP30.07 | Type: Free paper | DOI: 10.82333/psaf-wq80
Authors: Josefina Botta* 1 , Allon Barsam 2 , Andrzej Dmitiew 3 , Roger Zaldivar 4 , Stanley Windsor 5 , William F. Wiley 6
1MD, MSc . Medical Director of Consultorios Botta Ruiz, Specialist in Corneal, Cataract & Refractive Surgery, Authorized Professor at University of Buenos Aires.,Buenos Aires,Argentina, 2MA MB BS FRCOphth FWCRS Examiner CertLRS. Partner & Consultant Ophthalmic Surgeon at OCL Vision, Specialist in Corneal, Cataract & Refractive Surgery,London,United Kingdom, 3MD FWCRSVS . Department of Ophthalmology Medical University in Poznań/ reOptis St. Adalbert's Hospital Poznań,Poznan,Poland, 4MD, MSc, MBA. Medical Director of Instituto Zaldivar, Specialist in Corneal, Cataract & Refractive Surgery,Mendoza,Argentina, 5MSc PhD, Visting Research Fellow – Oxford Brookes University. ,Oxford,United Kingdom, 6MD. Specialist in Corneal, Cataract & Refractive Surgery,Ohio,United States
Purpose
The aim of this study is to investigate the key factors affecting patient satisfaction following intraocular lens implantation, utilising the RayPro database (Rayner, Brighton, UK). By examining patient feedback on visual quality and comfort after implantation, this study aims to identify the determinants of patient contentment that are independent of the specific IOL models implanted, underscoring the importance of comprehensive care and visual function in patient-reported outcomes.
Setting
Multicentre survey of patient’s satisfaction
Methods
A prospective survey-based study was carried out to assess patient satisfaction and visual outcomes following unilateral or bilateral intraocular lens (IOL) implantation using information from the RayPRO database. Surgeons entered patient and IOL details into RayPro, which then independently surveyed patients on their satisfaction and visual experiences. A correlation analysis was used to study key variables including satisfaction with the surgeon and medical centre, photic phenomena (day/night), and spectacle independence at near, intermediate, and distance vision. Results at 1 week, 3 and 12 months are presented.
Results
188 medical centres from 38 countries enrolled 12.647 eyes from 6.595 patients in the RayPro database, 2589 patients responded to the survey. At 3 months, spectacle independence at distance, intermediate, and near vision showed low correlations with patient’s satisfaction (r=0.209, r=0.160, r=0.071; p>0.001). Conversely, day and night dysphotopsia had strong to moderate negative correlations with satisfaction at 3 months (r=-0.522, r=-0.420; p>0.001), strengthening at 1 year (r=-0.609, r=-0.541; p>0.001). Satisfaction with the surgeon and medical centre was strongly linked (r=0.592; p>0.001), which moderately correlates with 3- and 12-month satisfaction outcomes (r=0.344, r=0.307; p>0.001).
Conclusions
Our study, utilising the RayPro database with a broad distribution of data across numerous centres, highlights that patient satisfaction following IOL implantation is lowly influenced by spectacle independence but significantly affected by dysphotopsia and the quality of care provided by surgeons and medical centres. The findings underscore the importance of managing visual disturbances and enhancing the overall patient experience to improve satisfaction outcomes. As dysphotopsia's impact on satisfaction strengthens over time, addressing these issues from the outset, along with ensuring high-quality surgical and medical care, is essential for patient contentment in the long term.