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Grow With Every Case

YOUR RESULTS ARE DATA. MAKE THEM WORK FOR YOU.

Written by the RLES AI clinical rules team · Medically reviewed by Alim Hüseynov, MD · Hüseyin Cengiz, MD · Last updated: 25 August 2026

Every surgeon drifts slightly from the population nomogram — the question is whether that drift is measured or imagined. RLES AI turns one-line follow-up entries into a personal outcome registry, and proposes corrections only when the statistics allow it.

RECORDING THAT TAKES TEN SECONDS

A follow-up is one message: patient, interval, UDVA, manifest, IOP, complaints. From these the registry accumulates the standard refractive outcome set — efficacy index, safety index, predictability within ±0.50/±1.00 D — and on every astigmatic case the full Alpins vector analysis:[1] TIA, SIA, difference vector, correction index and index of success (with negligible-cylinder cases properly excluded so ratios don't explode).

A NOMOGRAM PROPOSAL YOU CAN DEFEND IN A MEETING

  • No fixed case threshold — an adjustment of 0.25 D is proposed only when the 95% confidence interval of your mean error narrows below half that step (typically ~30 cases; fewer if your scatter is tight)
  • Below the gate, the report says "data accumulating" or "trend — not actionable" and tells you how many cases remain
  • A rolling 50-case window catches device aging and technique drift; subgroups (procedure, correction range, cylinder) each fill their own gate
  • Proposals are never applied automatically — the nomogram remains the surgeon’s

REAL-WORLD EVIDENCE, READY WHEN YOU NEED IT

On request the registry prints a standard six-graph outcome report[2] — cumulative UDVA, efficacy, safety, predictability scatter, error histogram with confidence interval, and the vector plot — the same format journals and congresses expect.

FREQUENTLY ASKED QUESTIONS

How much work is one follow-up record?
One short entry in the Mobile Interface: patient, interval, UDVA, manifest, IOP, complaints. The registry computes the standard outcome indices and full Alpins vector analysis from it.
When does the registry propose a nomogram adjustment?
Only when the 95% confidence interval of the surgeon’s own mean error narrows below half of the 0.25 D step — typically around 30 comparable cases. Below that gate it reports a trend, not a proposal.
SEE IT ON YOUR OWN CASES.
RLES AI runs as a mobile interface on your phone — nothing to install from a store, reports in minutes. The final clinical decision always rests with the surgeon.

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References — peer-reviewed sources
  1. Alpins NA. Astigmatism analysis by the Alpins method. J Cataract Refract Surg. 2001;27(1):31-49. doi:10.1016/S0886-3350(00)00798-7 PMID: 11165856
  2. Waring GO, Reinstein DZ et al. Standardized graphs and terms for refractive surgery results. J Refract Surg. 2011;27(1):7-9. doi:10.3928/1081597X-20101116-01 PMID: 21229953
Sources open on PubMed in a new tab.