Language
English
Publication Date
1-1-2023
Journal
Clinical Ophthalmology
DOI
10.2147/OPTH.S412847
PMID
37521152
PMCID
PMC10378607
PubMedCentral® Posted Date
7-24-2023
PubMedCentral® Full Text Version
Post-print
Abstract
Purpose: To obtain consensus on the key areas of burden associated with existing devices and to understand the requirements for a comprehensive next-generation diagnostic device to be able to solve current challenges and provide more accurate prediction of intraocular lens (IOL) power and presbyopia correction IOL success.
Patients and methods: Thirteen expert refractive cataract surgeons including three steering committee (SC) members constituted the voting panel. Three rounds of voting included a Round 1 structured electronic questionnaire, Round 2 virtual face-to-face meeting, and Round 3 electronic questionnaire to obtain consensus on topics related to current limitations and future solutions for preoperative cataract-refractive diagnostic devices.
Results: Forty statements reached consensus including current limitations (n = 17) and potential solutions (n = 23) associated with preoperative diagnostic devices. Consistent with existing evidence, the panel reported unmet needs in measurement accuracy and validation, IOL power prediction, workflow, training, and surgical planning. A device that facilitates more accurate corneal measurement, effective IOL power prediction formulas for atypical eyes, simplified staff training, and improved decision-making process for surgeons regarding IOL selection is expected to help alleviate current burdens.
Conclusion: Using a modified Delphi process, consensus was achieved on key unmet needs of existing preoperative diagnostic devices and requirements for a comprehensive next-generation device to provide better objective and subjective outcomes for surgeons, technicians, and patients.
Keywords
next-generation diagnostic device, measurement accuracy and validation, IOL power prediction, surgical planning, cataract surgery
Published Open-Access
yes
Recommended Citation
Henderson, Bonnie An; Aramberri, Jaime; Vann, Robin; et al., "The Current Burden and Future Solutions for Preoperative Cataract-Refractive Evaluation Diagnostic Devices: A Modified Delphi Study" (2023). Faculty and Staff Publications. 5490.
https://digitalcommons.library.tmc.edu/baylor_docs/5490