Evidence map›Paper›PMID 41669001›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2025

Patient and Practice Level Visual Acuity Prior to Cataract Surgery in the United States: An IRIS

Laurel T Tainsh, Vivian Paraskevi Douglas, Joshua B Gilbert, Sarah N Manz, Connor J Ross, William Kearney, Tobias Elze, Joan W Miller, Alice Lorch, IRIS® Registry Analytic Center Consortium

Abstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Laurel T TainshDepartment of Ophthalmology Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-4269-4413
Vivian Paraskevi DouglasDepartment of Ophthalmology Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA.
Joshua B GilbertDepartment of Ophthalmology Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA.
Sarah N ManzDepartment of Ophthalmology Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA.
Connor J RossDepartment of Ophthalmology Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA.
William KearneyDepartment of Ophthalmology Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA.
Tobias ElzeDepartment of Ophthalmology Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA.
Joan W MillerDepartment of Ophthalmology Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA.
Alice LorchDepartment of Ophthalmology Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA.
IRIS® Registry Analytic Center Consortium

Funding

P30 Core Grant for Vision ResearchP30EY014104 · NEI · MASSACHUSETTS EYE AND EAR INFIRMARY · PI Janey L Wiggs · 2002 to 2026
$15.1M
NEI NIH HHS P30 EY014104
6 · The paper itself

Abstract

Purpose: To examine the influence of patient demographic characteristics and ophthalmic practice composition on access to cataract surgery in the United States as measured by preoperative best-corrected visual acuity (BCVA). Patient and Methods: This retrospective cohort study analyzed data from the IRIS Results: A total of 2,387,045 individuals met the inclusion criteria. The mean BCVA prior to surgery was 0.23 (SD: 0.32) logMAR. The worst pre-operative BCVA was observed in patients with Hispanic race and ethnicity, while White patients had the best [0.34 (SD: 0.43), 0.21 (SD: 0.30); p<0.001]. Grouping patients in terms of percentage of BCVA worse than 20/50 prior to surgery, Hispanic patients, active smokers, and uninsured patients had higher percentages of worse preoperative vision (33.7%, 23.5%, 34.9%). Analysis of compositional effects of race and ethnicity, smoking, and insurance status showed that, regardless of an individual patient's demographic, patients treated at practices serving higher proportions of White patients showed better BCVA (b = -0.008 per 10 percentage points, Conclusions and Relevance: Overall differences exist with regard to the visual acuity at which cataract surgery is initiated at both the level of the individual patient and the composition of the practice in which they are treated.

Indexed as

access to surgerycataractpreoperative visual acuity

Identifiers

PMID41669001
PMCPMC12884692

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.