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Updated: Aug 21, 2025

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

Emily Charlesworth1, Paul Ursell2, Kam Chun Ho3

  • 1Bradford School of Optometry and Vision Science, University of Bradford, Bradford, UK.

Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)
|November 17, 2022
PubMed
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This summary is machine-generated.

New UK guidelines for cataract surgery refractive management were developed using a Delphi method. These recommendations provide consistent pre- and postoperative care guidance for optometrists and ophthalmologists, improving patient outcomes.

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.
Keywords:
Delphi studycataract surgeryguidelinesrefractive management

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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.