Coleman Iii Wyche T, Martin Curtis R, Davidson Cameron J, DeNaro Brittany B, Shelby Christopher L, LoBue Stephen A
Department of Ophthalmology, Willis-Knighton Medical Center, Shreveport, LA, USA.
Department of Foundational Medical Studies, Oakland University William Beaumont School of Medicine, Rochester, MI, USA.
Clin Ophthalmol. 2025 Apr 2;19:1191-1202. doi: 10.2147/OPTH.S515694. eCollection 2025.
To validate an efficient and reliable instrument for measuring postoperative performance and satisfaction in refractive cataract surgery.
A 10-question survey was designed to assess patient satisfaction and functional outcomes in refractive cataract surgery. The survey included seven questions rated on a 1-10 scale and three yes/no questions. Internal consistency was evaluated using Cronbach's alpha. Correlations between survey responses and objective visual acuity measurements (binocular uncorrected distance visual acuity [BUDVA] and binocular uncorrected near visual acuity [BUNVA]) were analyzed. Factor analysis explored the constructs assessed by the survey.
A total of 477 eyes from 240 patients were included, including 234 AcrySof PanOptix, 53 AcrySof IQ Vivity, 88 TECNIS Eyhance, 102 AcrySof Aspheric Monofocal intraocular lenses (IOLs). Cronbach's alpha (0.785) indicated acceptable moderate to strong internal consistency. Significant correlations were found between visual acuity and satisfaction ratings for distance (r = 0.256; p < 0.001) and near vision (r = 0.195; p < 0.001). A significant model was found (R² = 0.350, F(7, 474) = 35.86, p < 0.001) with quality of near vision (β = 0.188, p < 0.001), quantity of glasses independence (β = 0.116, p < 0.05), and lens choice (β = 0.434, p < 0.001) being significant predictors for IOL selection.
The Refractive Cataract Surgery Survey (RCSS) is an efficient, reliable tool for assessing patient satisfaction and performance in refractive cataract surgery. The quality of near vision and the level of glasses independence were significant predictors of lens choice satisfaction.
验证一种用于测量屈光性白内障手术术后表现和满意度的高效可靠工具。
设计了一份包含10个问题的调查问卷，以评估屈光性白内障手术患者的满意度和功能结果。该调查包括7个采用1至10分制评分的问题和3个是/否问题。使用Cronbach's α评估内部一致性。分析了调查回答与客观视力测量值（双眼未矫正远视力[BUDVA]和双眼未矫正近视力[BUNVA]）之间的相关性。因子分析探索了该调查所评估的结构。
共纳入240例患者的477只眼，其中包括234只AcrySof PanOptix、53只AcrySof IQ Vivity、88只TECNIS Eyhance、102只AcrySof非球面单焦点人工晶状体（IOL）。Cronbach's α（0.785）表明内部一致性为可接受的中等至高度。在远视力（r = 0.256；p < 0.001）和近视力（r = 0.195；p < 0.001）的视力与满意度评分之间发现了显著相关性。发现一个显著模型（R² = 0.350，F(7, 474) = 35.86，p < 0.001），其中近视力质量（β = 0.188，p < 0.001）、眼镜独立程度（β = 0.116，p < 0.05）和晶状体选择（β = 0.434，p < 0.001）是人工晶状体选择的显著预测因素。
屈光性白内障手术调查问卷（RCSS）是评估屈光性白内障手术患者满意度和表现的一种高效、可靠工具。近视力质量和眼镜独立程度是晶状体选择满意度的显著预测因素。
