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Related Concept Videos

Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...

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Comparison of Agreement and Accuracy using Binocular Wavefront Optometer with Autorefractor and Phoropter
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Exploring patient involvement in target refraction decision-making for cataract surgery.

Ambreen Hussain1, Katie Thomson2, Sven Jonuscheit1

  • 1Department of Vision Sciences, Glasgow Caledonian University, Glasgow, UK.

Optometry and Vision Science : Official Publication of the American Academy of Optometry
|May 22, 2026
PubMed
Summary

Patients often misunderstand target refraction in cataract surgery, showing limited awareness of personalization options. Greater patient involvement requires addressing misconceptions and aligning targets with spectacle wear preferences.

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Area of Science:

  • Ophthalmology
  • Patient-centered care
  • Refractive surgery

Background:

  • Post-surgical emmetropia is a common target refraction in cataract surgery.
  • Current practices often neglect professional recommendations for discussing refractive implications with patients.
  • Patient involvement in target refraction decisions is crucial for personalized outcomes.

Purpose of the Study:

  • To explore patient perspectives on their involvement in target refraction decision-making.
  • To understand patient preferences for target refraction during cataract surgery.
  • To identify factors influencing patient participation in refractive outcome planning.

Main Methods:

  • Semi-structured interviews with 10 cataract surgery patients in the UK National Health Service.
  • Analysis of interview data using reflexive thematic analysis.
  • Collection of pre- and post-surgical refractive data to supplement qualitative findings.

Main Results:

  • Patients exhibited significant uncertainty and limited understanding of 'target refraction'.
  • Clinician-patient discussions about target refraction were heterogeneous.
  • Pre-surgical spectacle wear habits strongly influenced post-surgical spectacle preferences, independent of target refraction.
  • Patients were satisfied with vision restoration but hesitant to participate due to misconceptions.

Conclusions:

  • Patients have limited awareness of personalizing target refraction based on spectacle wear.
  • Enhancing patient involvement requires addressing misconceptions and improving educational strategies.
  • Further research is needed to assess these perspectives in a broader population.