Factors Affecting Patient Reported Satisfaction: An Analysis Of Different Lens Categories With A Digital Prom Tool

To compare the relationship between patient satisfaction and vision-related patient reported outcome measures (PROMs) in the RayPRO database (Rayner, Worthing, UK) for different categories of lenses.

Multicenter survey of 183 sites in 22 countries.

The RayPRO platform uses anonymous email surveys to collect PROMs, namely, satisfaction with cataract surgery outcome; spectacle independence at distance, intermediate, and near, and day and night dysphotopsia. Pearson’s correlation analysis was used to assess the relationship between patient satisfaction, spectacle independence anddysphotopsia. Analysis was stratified by IOL type most frequently entered in the RayPRO database categorized as monofocal, increased range of focus and full range of focus IOLs.

5697 patients and 95 IOL models were enrolled. The correlations between satisfaction and dysphotopsia (day;night) were comparable amongst monofocal IOLs with in the aberration negative (r=-0.504; r=-0.513, p<0.001), aberration neutral (r=-0.503; r=-0.380, p<0.001), spherical (r=-0.420;r=-0.389, p<0.001) and aberration neutral toric optic(r=-0.421; r=-0.423, p<0.001), respectively. Correlations with the refractive full range of focus IOL (r=-0.439, p<0.001; r=-0.180, p=0.175) were the lowest compared to increased range of focus and diffractive full range of focus IOLs(r=-0.749, r=-0.638; p<0.001).

In all IOL types, satisfaction had moderate to strong negative correlations with dysphotopsia and weak to moderate positive correlations with spectacle independence indicating that dysphotopsia was a stronger determinant of patient satisfaction than spectacle independence. With the refractive full range of focus IOL, the effect of dysphotopsia on patient satisfaction was less pronounced than with the increased range of focus and diffractive full range of focus IOLs and closer to that observed with different types of monofocal IOLs. Our findings demonstrate the enhanced ability of a refractive full range of focus IOL to extend range of vision while reducing patient dissatisfaction due to visual disturbances such as halos and glare.