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Henderson BA, Aramberri J, Vann R, Abulafia A, Ainslie-Garcia M, Berdahl J, Ferko N, Gundersen KG, Goto S, Gupta P, Multack S, Persaud E, Raoof D, Savini G, Shammas HJ, Wang L, Wang WZ. The Current Burden and Future Solutions for Preoperative Cataract-Refractive Evaluation Diagnostic Devices: A Modified Delphi Study. Clin Ophthalmol 2023; 17:2109-2124. [PMID: 37521152 PMCID: PMC10378607 DOI: 10.2147/opth.s412847] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Accepted: 07/11/2023] [Indexed: 08/01/2023] Open
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.
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Affiliation(s)
- Bonnie An Henderson
- Department of Ophthalmology, Tufts University School of Medicine, Boston, MA, USA
| | | | - Robin Vann
- Department of Ophthalmology, Duke University School of Medicine, Durham, NC, USA
| | - Adi Abulafia
- Department of Ophthalmology, Shaare Zedek Medical Center, Hadassah Faculty of Medicine, the Hebrew University, Jerusalem, Israel
| | | | | | | | | | - So Goto
- Herbert Wertheim School Optometry and Vision Science, University of California, Berkeley, CA, USA
- Department of Ophthalmology, National Hospital Organization, Tokyo Medical Center, Meguro-ku, Tokyo, Japan
| | - Preeya Gupta
- Triangle Eye Consultants, Raleigh, NC, USA
- Department of Ophthalmology, Tulane University, New Orleans, LA, USA
| | - Samuel Multack
- Laser and Cataract Institute, Frankfort, IL, USA
- Advocate South Suburban Hospital, Hazel Crest, IL, USA
- Advocate Trinity Hospital, Chicago, IL, USA
| | | | - Duna Raoof
- NVISION Eye Center, Newport Beach, CA, USA
| | | | - H John Shammas
- Department of Ophthalmology, University of Southern California, Los Angeles, CA, USA
| | - Li Wang
- Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, TX, USA
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