Alcon’s SMARTCataract demonstrates improved efficiency and time savings in cataract surgery – Natural Self Esteem

GENEVA–(BUSINESS WIRE). Solutions for cataract surgery. SMARTCataract is the first application in Alcon’s comprehensive cloud-based platform specifically designed for ophthalmic surgical practices. 2-6 The data shows significant time savings in the cataract assessment, planning process, operating room (OR), and postoperative (post-operative) workflow for cataract patients.1

“SMARTCataract has resulted in significant time savings that benefit both my practice and my patients,” said Dr. Zachary Zavodni, medical director of The Eye Institute in Utah and lead investigator on the study. “In addition to increasing efficiency, evolving our practice to this digital cloud-based application has reduced the tedious manual data entry for my staff, giving us peace of mind about accuracy so I can focus on delivering optimal outcomes to my patients.”

SMARTCataract connects data systems and most diagnostic devices, including ARGOS® Image guided biometer, with cataract surgery equipment, including LenSx® Femtosecond laser and LuxOR® Revalia™ Ophthalmic Microscope. Now the SMARTCataract application also connects to Alcon’s Optiwave Refractive Analysis (ORA) SYSTEM via the cloud® with VerifEye+, the only intraoperative aberrometer on the market. Alcon re-optimizes the ORA SYSTEM’s AnalyzORTM Database of over 2 million cases per quarter with additional real-world cases to improve refractive results over time.7

An Alcon-sponsored study led by Dr. Zavodni, “Enhancing Clinic and OR Room (OR) Connectivity via a Cloud-Based Application to Improve Practice Efficiency for Cataract Surgery,” demonstrates significant time savings through SMARTCataract’s OR planning and OR workflow capabilities.1 The study evaluated the time and number of manual data entry transcription points for in-clinic devices, operating room devices, online intraocular lens (IOL) power calculations, and ORA integration. Time differences in diagnostic work-up, preoperative planning, intraoperative preparation, and postoperative were calculated and compared between the traditional workflow and SMARTCataract. Highlights include:

  • For non-astigmatic, non-postrefractive patients, SMARTCataract can save a total of 4.3 minutes compared to traditional methods1

  • In post-refractive patients, SMARTCataract can save a total of 13.8 minutes compared to traditional methods1

  • In patients with astigmatism, SMARTCataract can save a total of 12.6 minutes compared to traditional methods1

With the addition of ORA SYSTEM connectivity and existing integration with Alcon’s image-guided systems, SMARTCataract practices no longer need to manually re-enter data; Therefore, there is potential for additional time savings and error reduction.

“We are proud of the latest evolution of our SMARTCataract application with ORA integration that eliminates even more manual data entry for practices using the only intraoperative aberrometer to optimize patient outcomes during cataract surgery,” said Brian O’Neal, Vice President, Surgical Digital Health Solutions at Alcon. “We look forward to further developing the SMARTCataract application as well as our SMART Solutions capabilities more broadly – ​​as part of our larger journey to enable best-in-class digital experiences to support practice efficiency while helping people, brilliant to see.”

At ASCRS, Alcon will unveil a new branding campaign that underpins the robust offering of its surgical device ecosystem. The Alcon Vision Suite represents the potential for fully integrated and connected practices, providing surgeons with improved efficiency and accuracy to improve patient outcomes.2-6

For more information on SMARTCataract, visit

About SMART solutions

SMART Solutions by Alcon is a comprehensive cloud-based digital health solutions platform purpose-built for eye care practices. Through its SMARTCataract application, it enables automated evaluation of patient data and surgeon preferences to provide optimized recommendations that improve surgical accuracy and help surgeons achieve better patient outcomes for cataract treatment. Surgeons and their staff should consult the device product manuals for important product information.

About ORA

ORA SYSTEM technology uses wavefront aberrometry data to measure and analyze the eye’s refractive power (ie spherical, cylindrical and axial measurements) to aid in cataract surgery. Surgeons should refer to the ORA SYSTEM Operator’s Manual for a complete description of proper use and maintenance and a complete list of warnings and cautions.

About cataracts

A cataract is a cloudy area in the natural lens of the eye that affects vision. As a cataract develops, the lens of the eye gradually becomes hard and cloudy, allowing less light to pass through, making it difficult to see. The vast majority of cataracts result from normal aging, but exposure to radiation, steroid use, diabetes, and eye injuries can accelerate their development. Cataracts are the most common age-related eye disease and the leading cause of preventable blindness.8th Cataracts are treated by removing the eye’s cloudy natural lens and surgically replacing it with an intraocular lens, or IOL. More than 92% of cataract surgeries are considered successful, and patients are usually able to return to their normal routine within 24 hours.9

About Alcon

Alcon helps people see brilliantly. As the world leader in eye care with a history spanning over 75 years, we offer the broadest portfolio of products to improve vision and improve people’s lives. Each year, our surgical and ophthalmic products touch the lives of more than 260 million people in over 140 countries living with conditions such as cataracts, glaucoma, retinal diseases and refractive errors. Our more than 24,000 employees improve the quality of life through innovative products, partnerships with eye care professionals and programs that improve access to quality eye care. Learn more at


  1. Zavodni Z MD, Li-Chen P MPH, Saylor M BA, Cheng H MSc. Improving connectivity between the clinic and the operating room via a cloud-based application to improve practice efficiency for cataract surgery. ASCRS, Washington DC, April 22, 2022.

  2. Alcon archived data, 2020.

  3. Blaylock JF, Halle B. Astigmatic results of a diffractive trifocal toric IOL after intraoperative aberrometry guidance. Clin Ophthalmol. 2020;14:4373-4378. doi:10.2147/OPTH.S285711.

  4. Cionni RJ, Dimalanta R, Breen M, Hamilton C. A large retrospective database analysis comparing the results of intraoperative aberrometry with conventional preoperative planning. J Cataract refractive surgery. 2018;44(10):1230-1235. doi:10.1016/j.jcrs.2018.07.016.

  5. EJ Van Vliet, E Bredenhoff, W Sermeus, LM Kop, JCA Sol, WH Harten. Exploring the relationship between process design and efficiency in high volume cataract pathways from a lean thinking perspective. Int J Qual Health Care. 2011;23(1):83-93. doi:10.1093/intqhc/mzq071.

  6. Håkansson I, Lundström M, Stenevi U, Ehinger B. Data reliability and structure in the Swedish cataract registry. Acta Ophthalmol Scand. 2001;79(5):518-523. doi:10.1034/j.1600-0420.2001.790519.

  7. Alcon data available in 2022.

  8. Flaxman, Seth R., et al. (2017). Global causes of blindness and distance vision impairment 1990-2020: a systematic review and meta-analysis.

  9. National Institute for Health and Care Excellence, Cataracts in Adults: Management. Accessed September 2020.

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