Exploring The Relationship Between Visual Acuity Outcomes & Patient-Reported Outcome Measures Using The Cat-Prom5 Questionnaire In Cataract Surgery
Published 2026 - 44th Congress of the ESCRS
Reference: POCAT307 | Type: Poster | DOI: 10.82333/qvyq-b468
Authors: Dr Katherine Elizabeth Byles* 1 , Mr Conor Ramsden 1 , Ms Hirut Von Lany 1 , Mr Michael Smith 1 , Mr Anthony Quinn 1 , Mr Peter Simcock 1 , Mrs Niki Harrison 1 , Mr Andrew Cowdray 1 , Mr Neil Bowley 1
1Ophthalmology,Exeter Eye,Exeter,United Kingdom
Purpose
In patients undergoing cataract surgery, it has been standard practice for visual outcomes such as change in visual acuity to be used to measure the success of surgery. It is now recognised that this potentially overlooks the impact on patients’ quality of life, which is the primary purpose of cataract surgery. The Cat-PROM5 questionnaire is a simple, validated tool that can be used to compare pre- & post-operative symptoms relating to cataracts. This allows outcomes of surgery which are meaningful to the patients to be quantified & analysed.
Setting
An independent ophthalmic surgical partnership of 8 cataract surgeons in Exeter, United Kingdom.
Methods
Patients undergoing cataract surgery in 2025 were invited to carry out the Cat-PROM5 questionnaire one week prior to cataract surgery & then 6 weeks post operatively, using an eyecare data platform (Lutra health). Patients were contacted either via SMS or email to fill out the questionnaire. Basic patient demographics, procedure type & intraocular lens implant type, laterality & visual acuity outcomes, collected as part of routine clinical care, were also analysed for the cohort.
Results
186 PROMs had 77% response rate for the pre, 66% for post & 56% for both, allowing. In responders to the pre, the mean age was 74.1 & 74.3 for non-responders. 12 had deltaPROM (dP) >0 (a negative outcome) & 93 had a dP score ≤0. Mean dP was -4.17. There was no trend in dP by age.
Visual acuity (VA) and dP data was available for 87 patients. The average VA change was -0.30 logMAR. Patients with dP >0, mean VA change = -0.07 & for dP ≤0 the mean VA change was -0.33. In quartiles by VA change, the quartile with the most VA gain (Q1), dP = -5.36, Q2 = -5.00, Q3 = -4.5 & Q4 = -2.86.
Patients using health insurance, dP = -4.36 & patients self funding, dP = -4.3. Monofocal lens had a dP = -4.43 & for extended depth of focus lenses dP = -5.45.
Conclusions
CatPROM5 scores map closely to Visual Acuity trends & are a useful measure of patient satisfaction & give insight as the impact of patient choice in the cataract surgery journey. This further bolsters the case that PROMS add meaningful insight beyond traditional clinical outcome metrics.