26 EyeWorld Asia-Pacific | June 2025 SURGICAL OUTCOMES “If you’re not measuring patient-reported outcomes, you might not be practicing consistent, evidence-based medicine,” Dr. Zaldivar said. You might be a great surgeon and do the best IOL calculations, but if your patients are not happy, there is something in the patient’s journey that is not fitting properly, he continued. Most of the time, if a patient is not happy, Dr. Zaldivar said there is something you are missing. He said it’s important to gather data and relate it to the patient to understand and learn. In 2020, Dr. Zaldivar introduced Revai—an advanced data platform that incorporates a patient-reported outcomes approach and an analytics tool that utilizes AI. ICL Guru is a prime example of Revai’s capabilities, already integrated into the platform as an AI-powered ICL sizing calculator based on extensive experience of more than 23,500 ICL procedures spanning 30 years. According to Dr. Zaldivar, ICL Guru is boosting surgeons’ confidence in ICL technology by achieving accurate vault results. This is made by Liz Hillman, Editorial Co-Director Patient-Reported Outcome Measures: A Must-Have For ‘Solid, Consistent Medicine’ EyeWorld spoke with Roger Zaldivar, MD, MSc, MBA, about patient-reported outcome measures in general, as well as a relatively new digital health ecosystem he’s created to provide real-world, big-data insights on patient experiences with different IOLs and refractive procedures. Dr. Zaldivar said he doesn’t think most surgeons collect patientreported outcomes in a consistent and systematic manner. He mentioned that while many of his colleagues gather this data for clinical studies, he views it as less reliable compared to real-world data because studies may not reflect real-world experiences. In prospective controlled studies, patients often do not pay typical fees and may carry different expectations than those in standard clinical settings. Whether you’re tracking your individual outcomes in a manual way and using them to inform your future decisions or tracking your outcomes and analyzing them within a big-data system, Dr. Zaldivar said it’s important for surgeons to track patient-reported outcomes.
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