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

Wyche T Coleman III,1 Curtis R Martin,1 Cameron J Davidson,2 Brittany B DeNaro,1 Christopher L Shelby,1 Stephen A LoBue1 1Department of Ophthalmology, Willis-Knighton Medical Center, Shreveport, LA, USA; 2Department of Foundational Medical Studies, Oakland University William Beaumont School of Medicine, Rochester, MI, USACorrespondence: Stephen A LoBue, Department of Ophthalmology and Director of Research, Willis-Knighton Medical Center, Bert Kouns Industrial Loop, Suite 116, Shreveport, LA, 71118, USA, Tel +1-318-212-5901, Email [email protected]: To validate an efficient and reliable instrument for measuring postoperative performance and satisfaction in refractive cataract surgery.Methods: 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.Results: 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.Conclusion: 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.Keywords: refractive cataract surgery, validated survey, presbyopia correcting intraocular lenses, patient satisfaction