The Refractive Cataract Surgery Survey (RCSS): A Validated Questionnaire for Quick Clinical Use

Area of Science:

• Ophthalmology
• Medical Device Technology
• Patient Outcomes Research

Background:

• Refractive cataract surgery aims to improve vision and reduce spectacle dependence.
• Patient-reported outcomes and satisfaction are crucial metrics for evaluating surgical success.
• Validated instruments are needed to reliably assess postoperative performance and satisfaction.

Purpose of the Study:

• To validate an efficient and reliable instrument for measuring postoperative performance and satisfaction in refractive cataract surgery.
• To assess the psychometric properties of a novel survey designed for this purpose.

Main Methods:

• A 10-question survey assessing patient satisfaction and functional outcomes was developed.
• Internal consistency was evaluated using Cronbach's alpha.
• Correlations with objective visual acuity (BUDVA, BUNVA) and factor analysis were performed.

Main Results:

• The survey demonstrated acceptable internal consistency (Cronbach's alpha = 0.785).
• Significant correlations were observed between visual acuity and satisfaction ratings for distance and near vision.
• Quality of near vision, glasses independence, and lens choice were significant predictors of satisfaction.

Conclusions:

• The Refractive Cataract Surgery Survey (RCSS) is an efficient and reliable tool for assessing patient satisfaction and performance.
• Patient satisfaction with refractive cataract surgery is influenced by visual outcomes and the degree of spectacle independence achieved.