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Rocio Carbonell

Clínico Quirúrgico Juan Bruno Zayas Santiago de Cuba


Measuring visual acuity alone does not measure the quality of life gained

My presentation is connected to the following theme

Quality of Eye Care

5 key short sentences highlighting the essence of my presentation

  1. “Measuring visual acuity alone does not measure the quality of life gained.”
  2. Our posterior capsule rupture rate is below the European benchmark.”
  3. The patient wants to read the newspaper without glasses, not understand the corneal axis.”
  4. Quality is not a final inspection; it is a daily surgical habit.”
  5. We benchmark our outcomes against the world to operate better tomorrow.”

Summary

While Snellen visual acuity remains the global standard for cataract surgery outcomes, true quality of care demands a more holistic evaluation. This presentation outlines a practical framework for integrating non- visual quality indicators into a high-volume ophthalmology department.

We propose a three-pillar approach: Clinical Safety (tracking intraoperative complication rates such as Posterior Capsule Rupture against ESCRS benchmarks), Functional Satisfaction (measuring spectacle independence for distance vision and reading ability at 30 days post-op), and Patient Journey Efficiency (monitoring door-to-discharge time and Net Promoter Score).

By shifting the focus from purely anatomical success to patient-centered functional recovery, eye hospitals can identify hidden inefficiencies and enhance the overall patient experience. This model is replicable across different healthcare systems and aligns with WAEH’s mission to elevate global standards through actionable benchmarking. Preliminary internal data demonstrates that tracking functional outcomes improves pre-operative counseling and manages patient expectations more effectively.