Clearlog: A New, Versatile And Free To Use Registry And Analysis Software For Cataract And Refractive Lens Exchange Surgeons Involved In Clinical Practice And/Or Clinical Research
Published 2025 - 43rd Congress of the ESCRS
Reference: PO264 | Type: Free paper | DOI: 10.82333/mtkk-vt72
Authors: Tolga Guven* 1 , Mahmoud Eissa 1 , James Richardson-May 1 , Priyanka Pujara 1 , Karinya Lewis 1
1Ophthalmology,Salisbury District Hospital,Salisbury,United Kingdom
Purpose
To present a new, versatile and free to use registry and analysis software for cataract and refractive lens exchange surgeons involved in clinical practice and/or clinical research.
To demonstrate ease of use and versatility of a new software & app tailored for Cataract and RLE surgeons.
To show that data entry is fast & intuitive.
To illustrate the simplicity of generating reports of basic key performance indicator reports (such as PCR rate and accuracy of refractive outcomes) as well as more detailed reports that analyse multiple objective and subjective parameters.
To combine collection and analysis of objective and subjective outcomes, and display them alongside each other.
To show how data can be used to optimise practice patterns.
Setting
Private practice in the UK
Methods
The software was used by a single surgeon to log and analyse the results of surgery over a 6 year period. Captured data could be the minimum needed to report on KPIs such as complication rates and refractive accuracy, or detailed to allow multi-factorial analysis and graphical representation of the results combining objective and subjective outcomes analysis, & outcomes over time. The App and browser versions of the software were used to input data and generate reports. Records were exported to spreadsheets to allow even more detailed analyses where necessary.
The software was used to generate reports for use in annual appraisal, and for use in presentations at international conferences. Develpoments are ongoing including LASERlog.
Results
The software was easy to use, intuitive, and produced a variety of reports. Essential reports include posterior capsule rupture rate, refractive outcome accuracy, loss of BCVA, cummulative post-operative visual acuity and endophthalmitis rate. The date range defaults to 1 year and can be tailored to longer periods as needed.
Custom reports have multiple levels of filtering to allow bespoke analysis, with any two data points and a filter being selectable.
Time-lapse reports show outcome evolution over time. PROMS could be recorded and analysed, including dysphotopsia, independence from spectacles, and overall satisfaction. These reports allow analysis of up to 3 lenses or 2 parameters on a single graph, including objective outcomes and PROMS.
Conclusions
This new software is easy to use, intuitive and free. It can be used as an App on mobile devices or on a web browser. Users can use it in "Simple" mode with entry of minimal data to allow for production of Standard Reports only, or in "Advanced" mode for more detailed analysis and production of Custom Reports and Time-lapse Reports.
The software produces rapid outcomes analysis with default settings entered into the Profile section and graphs produced for a 1 year period unless customised differently. It is a useful new opportunity for surgeons to easily record surgical activity, analyse results, assist in optimising patient outcomes, and meet regulatory requirements.