Developing refractive management recommendations for patients undergoing cataract surgery: A Delphi study.

Area of Science:

• Ophthalmology
• Optometry
• Clinical Practice Guidelines

Background:

• No existing UK optometric guidelines address refractive management for cataract surgery patients.
• Variability in preoperative and postoperative advice necessitates standardized best practices.

Purpose of the Study:

• To establish UK-wide consensus on best practices for pre- and postoperative refractive management in cataract surgery.
• Develop evidence-based recommendations for optometrists and ophthalmologists.

Main Methods:

• A two-round Delphi method was employed with a panel of 22 experienced optometrists and ophthalmologists.
• Recommendations were developed based on expert opinion, clinical expertise, and literature review.
• Consensus was defined as >80% agreement on importance and feasibility.

Main Results:

• Fifteen out of 18 initial recommendations achieved consensus after two Delphi rounds.
• The consensus covered preoperative target refraction, postoperative management, and driving advice.
• The process refined recommendations based on expert feedback and feasibility assessments.

Conclusions:

• Consensus was reached on 15 recommendations for refractive management in cataract surgery.
• These guidelines will promote consistent patient care and benefit less experienced practitioners.
• Standardized advice on target refraction, postoperative care, and driving is crucial.