Clinical And Patient-Reported Outcomes Of Cataract Surgery In A Large Cohort From A Multicentre Single Specialist Eye Hospital Group

To evaluate the clinical and patient-reported outcomes following phacoemulsification cataract surgery with monofocal intraocular lens implantation within a large cohort across multiple centres of a single specialist eye hospital group.

Optegra Eye Health Care, UK

Retrospective audit of data from surgeries performed between Jan 2023 to Dec 2024 at a group of 13 specialist eye hospitals in the UK. Data for eyes that were implanted with monofocal IOLs were extracted for analysis from the electronic medical record system (EMR). Eyes with documented co-pathology and less than seven days follow up were excluded from the analysis.  

A total of 98,950 procedures were recorded using the Open Eyes EMR. Of these procedures, 99.3% were reported as having no operative complications. Best measured visual acuity outcomes showed that 96% of eyes achieved 20/40 or better, and 57% achieved 20/20 or better (‘best measured’ using pinhole, best corrected, or unaided vision). 94% of eyes were within ±1.00 Dioptres of the predicted post-operative refraction. Overall complication rates were low. There were 230 reports of posterior capsular rupture giving a rate of 0.23% for the cohort. Patient-reported outcomes showed a significant improvement postoperatively, with 84% of respondents reporting an improvement post-operatively using Catquest 9SF.

Our results demonstrate that high-volume cataract surgery can consistently yield excellent visual and refractive outcomes. The low complications rates highlight the ongoing evolution in the safety and efficacy of cataract surgery procedures.  These findings support the benefits of a  structured, standardised approach to cataract surgery in a multicentre setting.