Clinical Scorecard: The Case for CLEARlog

At a Glance

Key Highlights

• CLEARlog is described as a clinical data app, not an electronic medical record, for analysing cataract and refractive lens exchange practice.
• Reports can range from posterior capsule rupture rates to analyses combining up to three parameters, and can compare up to three lenses with up to one year of follow-up.
• The author uses the app to review refractive outcomes, visual acuity, posterior capsule rupture rates, and dysphotopsia frequency and severity.
• A Westmead Hospital time-motion study reported that prospective auditing with CLEARlog reduced audit time by more than 15 hours per cycle without meaningful added burden to consultations.
• The article reports that a trainee-led study found better distance, intermediate, and near vision with an enhanced monofocal and a refractive extended depth of focus lens than with a monofocal control.

Guideline-Based Recommendations

Diagnosis

Management

• Use structured clinical outcome data to review cataract and refractive lens exchange results, including refractive accuracy, visual acuity, dysphotopsia, and spectacle independence.
• The author describes using lens comparisons to inform lens selection and sharing practice data with patients and referring optometrists.

Monitoring & Follow-up

• The author regularly reviews posterior capsule rupture rates, refractive outcomes, and postoperative visual acuity at distance, intermediate, and near.
• The article describes using outcome reports for benchmarking, annual appraisal, and early detection of outlying results.

Risks

• The article discusses posterior capsule rupture and dysphotopsia frequency and severity as outcomes to track; it provides no specific risk estimates.

Patient & Prescribing Data

Patients undergoing cataract surgery or refractive lens exchange with monofocal or premium intraocular lenses.

The article reports that, in a trainee-led Westmead study, an enhanced monofocal and a refractive extended depth of focus lens produced significantly better distance, intermediate, and near vision than a monofocal control; satisfaction was rated highly across all three groups.

Clinical Best Practices

• Capture structured outcome data prospectively to support review of surgical results.
• Compare lens outcomes using consistent measures, including refractive, visual acuity, and patient-reported outcomes.
• Use filtered reports or exported data for further analysis; the article notes spreadsheet analysis and SPSS as options.
• The article describes sharing practice data with patients and referring optometrists and using it in benchmarking and appraisal.

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