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The Current Burden and Future Solutions for Preoperative Cataract-Refractive Evaluation Diagnostic Devices: A Modified Delphi Study
PURPOSE: To obtain consensus on the key areas of burden associated with existing devices and to understand the requirements for a comprehensive next-generation diagnostic device to be able to solve current challenges and provide more accurate prediction of intraocular lens (IOL) power and presbyopia...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10378607/ https://www.ncbi.nlm.nih.gov/pubmed/37521152 http://dx.doi.org/10.2147/OPTH.S412847 |
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author | Henderson, Bonnie An Aramberri, Jaime Vann, Robin Abulafia, Adi Ainslie-Garcia, Margaret Berdahl, John Ferko, Nicole Gundersen, Kjell Gunnar Goto, So Gupta, Preeya Multack, Samuel Persaud, Elizabeth Raoof, Duna Savini, Giacomo Shammas, H John Wang, Li Wang, Wendy Zhi |
author_facet | Henderson, Bonnie An Aramberri, Jaime Vann, Robin Abulafia, Adi Ainslie-Garcia, Margaret Berdahl, John Ferko, Nicole Gundersen, Kjell Gunnar Goto, So Gupta, Preeya Multack, Samuel Persaud, Elizabeth Raoof, Duna Savini, Giacomo Shammas, H John Wang, Li Wang, Wendy Zhi |
author_sort | Henderson, Bonnie An |
collection | PubMed |
description | PURPOSE: To obtain consensus on the key areas of burden associated with existing devices and to understand the requirements for a comprehensive next-generation diagnostic device to be able to solve current challenges and provide more accurate prediction of intraocular lens (IOL) power and presbyopia correction IOL success. PATIENTS AND METHODS: Thirteen expert refractive cataract surgeons including three steering committee (SC) members constituted the voting panel. Three rounds of voting included a Round 1 structured electronic questionnaire, Round 2 virtual face-to-face meeting, and Round 3 electronic questionnaire to obtain consensus on topics related to current limitations and future solutions for preoperative cataract-refractive diagnostic devices. RESULTS: Forty statements reached consensus including current limitations (n = 17) and potential solutions (n = 23) associated with preoperative diagnostic devices. Consistent with existing evidence, the panel reported unmet needs in measurement accuracy and validation, IOL power prediction, workflow, training, and surgical planning. A device that facilitates more accurate corneal measurement, effective IOL power prediction formulas for atypical eyes, simplified staff training, and improved decision-making process for surgeons regarding IOL selection is expected to help alleviate current burdens. CONCLUSION: Using a modified Delphi process, consensus was achieved on key unmet needs of existing preoperative diagnostic devices and requirements for a comprehensive next-generation device to provide better objective and subjective outcomes for surgeons, technicians, and patients. |
format | Online Article Text |
id | pubmed-10378607 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-103786072023-07-29 The Current Burden and Future Solutions for Preoperative Cataract-Refractive Evaluation Diagnostic Devices: A Modified Delphi Study Henderson, Bonnie An Aramberri, Jaime Vann, Robin Abulafia, Adi Ainslie-Garcia, Margaret Berdahl, John Ferko, Nicole Gundersen, Kjell Gunnar Goto, So Gupta, Preeya Multack, Samuel Persaud, Elizabeth Raoof, Duna Savini, Giacomo Shammas, H John Wang, Li Wang, Wendy Zhi Clin Ophthalmol Original Research PURPOSE: To obtain consensus on the key areas of burden associated with existing devices and to understand the requirements for a comprehensive next-generation diagnostic device to be able to solve current challenges and provide more accurate prediction of intraocular lens (IOL) power and presbyopia correction IOL success. PATIENTS AND METHODS: Thirteen expert refractive cataract surgeons including three steering committee (SC) members constituted the voting panel. Three rounds of voting included a Round 1 structured electronic questionnaire, Round 2 virtual face-to-face meeting, and Round 3 electronic questionnaire to obtain consensus on topics related to current limitations and future solutions for preoperative cataract-refractive diagnostic devices. RESULTS: Forty statements reached consensus including current limitations (n = 17) and potential solutions (n = 23) associated with preoperative diagnostic devices. Consistent with existing evidence, the panel reported unmet needs in measurement accuracy and validation, IOL power prediction, workflow, training, and surgical planning. A device that facilitates more accurate corneal measurement, effective IOL power prediction formulas for atypical eyes, simplified staff training, and improved decision-making process for surgeons regarding IOL selection is expected to help alleviate current burdens. CONCLUSION: Using a modified Delphi process, consensus was achieved on key unmet needs of existing preoperative diagnostic devices and requirements for a comprehensive next-generation device to provide better objective and subjective outcomes for surgeons, technicians, and patients. Dove 2023-07-24 /pmc/articles/PMC10378607/ /pubmed/37521152 http://dx.doi.org/10.2147/OPTH.S412847 Text en © 2023 Henderson et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Henderson, Bonnie An Aramberri, Jaime Vann, Robin Abulafia, Adi Ainslie-Garcia, Margaret Berdahl, John Ferko, Nicole Gundersen, Kjell Gunnar Goto, So Gupta, Preeya Multack, Samuel Persaud, Elizabeth Raoof, Duna Savini, Giacomo Shammas, H John Wang, Li Wang, Wendy Zhi The Current Burden and Future Solutions for Preoperative Cataract-Refractive Evaluation Diagnostic Devices: A Modified Delphi Study |
title | The Current Burden and Future Solutions for Preoperative Cataract-Refractive Evaluation Diagnostic Devices: A Modified Delphi Study |
title_full | The Current Burden and Future Solutions for Preoperative Cataract-Refractive Evaluation Diagnostic Devices: A Modified Delphi Study |
title_fullStr | The Current Burden and Future Solutions for Preoperative Cataract-Refractive Evaluation Diagnostic Devices: A Modified Delphi Study |
title_full_unstemmed | The Current Burden and Future Solutions for Preoperative Cataract-Refractive Evaluation Diagnostic Devices: A Modified Delphi Study |
title_short | The Current Burden and Future Solutions for Preoperative Cataract-Refractive Evaluation Diagnostic Devices: A Modified Delphi Study |
title_sort | current burden and future solutions for preoperative cataract-refractive evaluation diagnostic devices: a modified delphi study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10378607/ https://www.ncbi.nlm.nih.gov/pubmed/37521152 http://dx.doi.org/10.2147/OPTH.S412847 |
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