Cataract Surgery (Adult)

Introduction

Cataract Surgery (Adult)

General Comments and Directions

  • Scoring should be based on the considered view of the clinician taking into account the patient’s history, examination, results of investigations and the clinician’s experience in treating like patients.
  • Criteria only apply for patients where a procedure is indicated and the patient wishes it and all non-surgical therapeutic options have been explored.
  • These criteria only apply to elective and arranged admissions.
  • The score should be calculated during the consultation, and the patient informed whether they will be accepted for publicly funded treatment.
  • If due to exceptional factors not included in the prioritisation criteria, the booking status generated does not adequately reflect the patient’s priority, the booking status may be overridden. The reason for the exception must be documented.

More than one procedure

Where two or more related but independent procedures are contemplated at the same operating session the score should relate to the most significant procedure.

This tool does not cover:

  • Paediatric cataracts

Special cases

Automatic Priority

An appropriate priority score reflecting the clinically appropriate timeframe for treatment will be automatically assigned for the following cases.

Prioritisation

Prioritisation of Cataract surgery

Impact on Life
Best Corrected Distance Visual Acuity in operative eye
Measured on standard illuminated 6m or 4m chart.
Best Corrected Binocular Distance Visual Acuity
Presence of Axial Posterior sub-capsular lens opacity
Potential Visual Acuity in the operative eye after surgery