{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T10:49:07Z","timestamp":1792234147929,"version":"4.4.0"},"reference-count":46,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T00:00:00Z","timestamp":1779408000000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["OVS"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Post\u2010surgical emmetropia is frequently used as the target refraction in cataract surgery. Such target does not reflect guidance available from regulatory or professional bodies which recommend that the refractive implications of surgery, notably changes in post\u2010surgical spectacle needs, should be discussed with the patient. This study aimed to explore patient perspectives on their involvement in and preferences for target refraction decision\u2010making during routine cataract surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In\u2010depth semi\u2010structured interviews were conducted with participants with a history of cataract surgery in both eyes with the UK National Health Service between 2018 and 2023. Interviews were conducted in person or by telephone and audio\u2010recorded. Data were transcribed and analyzed using reflexive thematic analysis. Pre\u2010 and post\u2010surgical refractive data were obtained to complement thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thematic saturation was reached after 10 participants completed the in\u2010depth interviews (median [IQR] age 72 (10) years; 70% female). Two main and five sub\u2010themes were developed. The first main theme (1) \u2018Understanding target refraction\u2019 revealed considerable participant uncertainty and limited understanding of the concept \u2018target refraction\u2019. Participants reported varied experiences in their clinician\u2010patient discussions regarding target refraction, highlighting a notable degree of heterogeneity. The second theme (2) \u2018Factors affecting choice of target refraction\u2019 highlighted that pre\u2010surgical spectacle wear habits are key determinants of patients' post\u2010surgical spectacle wearing preferences, which are broadly independent of target refraction. Overall, patients were satisfied with vision restoration and hesitant to participate in target refraction decision\u2010making due to misconceptions. A trusting clinician\u2013patient relationship was widely reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study provides evidence for patients' limited awareness of the potential to personalize target refraction to individual spectacle wear preferences, which may influence their willingness to be involved in target refraction decision\u2010making. Further research is warranted to quantify the frequency of these perspectives across a broader population as well as explore current target refraction educational strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ovs2.70059","type":"journal-article","created":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T02:06:16Z","timestamp":1779501976000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Exploring patient involvement in target refraction decision\u2010making for cataract surgery"],"prefix":"10.1002","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0254-294X","authenticated-orcid":false,"given":"Ambreen","family":"Hussain","sequence":"first","affiliation":[{"name":"Department of Vision Sciences Glasgow Caledonian University  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Thomson","sequence":"additional","affiliation":[{"name":"Department of Nursing, Community and Public Health Glasgow Caledonian University  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sven","family":"Jonuscheit","sequence":"additional","affiliation":[{"name":"Department of Vision Sciences Glasgow Caledonian University  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catriona","family":"MacLennan","sequence":"additional","affiliation":[{"name":"Department of Vision Sciences Glasgow Caledonian University  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjophth\u20102020\u2010000464"},{"key":"e_1_2_10_3_1","volume-title":"NOD national cataract audit year 8 annual report","author":"Royal College of Ophthalmologists (RCOphth)","year":"2025"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics12020243"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40662\u2010014\u20100010\u20102"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.25236\/FMSR.2025.070502"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.AJO.2025.10.013"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12886\u2010024\u201003639\u20108"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/opo.12957"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol\u20102021\u2010320997"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2019.08.014"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2018.01.031"},{"key":"e_1_2_10_13_1","volume-title":"Ophthalmology","author":"American Academy of Ophthalmology","year":"2021"},{"key":"e_1_2_10_14_1","unstructured":"National Institute for Health and Care Clinical Excellence (NICE).Cataracts in adults: management NICE guideline. 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