BY THE NUMBERS: Contact Lens CAP Summary

March 5, 2025

Final results are now available for the Fall 2024 CAP Assessment. ABO Diplomates who took the assessment may be curious about their performance in comparison to their colleagues. Others may be interested in survey responses showing the impact of the readings and preparation for the assessment on Diplomates’ patient care.

Please note that we’re unable to provide direct answers to specific questions as some Diplomates will be retaking the assessment in their 4^th year.

If there is specific information that you’d like to see in future CAP summaries that we haven’t provided here, please let us know.

Contact Lens CAP Assessment

Dates available: September 15, 2024 through December 31, 2024

Overall Performance

Pass/fail cut point: 80% (20/25 questions)
Passing rate: 95.5%
Average score: 90.0% (22.5/25 questions correct)

Performance by Question

MFCL article (Questions 1-4): Average percentage correct: 94.5%

Scleral lens article (Questions 5-9): Average percentage correct: 95.8%

CLs for OSD article (Questions 10-12): Average percentage correct: 94.0%

Fundamental knowledge (Questions 13-25): Average percentage correct: 85.6%

Easiest question (99% correct): Question 17: Fundamental knowledge question about the likely source of microcysts

Most difficult question (72% correct): Question 23: Fundamental knowledge question about changing RGP parameters to correct for central pooling, which indicates a steep fit

Survey Responses

How will your practice behavior change as a result of the “MFCL Success Predictability” article? (Select all that apply)

17.7%	I do not anticipate implementing any changes.
34.6%	My current practice will not change, but it has been reinforced by the information in this article.
3.1%	I need more information before making changes to my practice
28.3%	I will be more confident in prescribing MFCLs to my presbyopic patients.
14.2%	I am less likely to dispense less-than-satisfactory MFCLs with the belief that patients need time to adapt.
20.0%	When fitting MFCLs, I will ask patients to rate their overall visual satisfaction and use that information to decide whether to dispense the lenses.

How will your practice behavior change as a result of the “Scleral lens prescription and management practices” article? (Select all that apply)

30.7%	I do not anticipate implementing any changes.
36.3%	My current practice will not change, but it has been reinforced by the information in this article.
7.4%	I need more information before making changes to my practice.
15.4%	I am more likely to fit scleral lenses (or to increase the number of scleral lens fittings).
4.9%	I will modify the care regimen I recommend for my scleral lens patients.
12.5%	I will explore ways to become more efficient in my scleral contact lens fitting process.

How will your practice behavior change as a result of the “CLs for treatment of OSD” article? (Select all that apply)

18.1%	I do not anticipate implementing any changes
34.1%	My current practice will not change, but it has been reinforced by the information in this article.
3.5%	I need more information before making changes to my practice.
25.3%	I am more confident in my ability to treat OSD with contact lenses.
20.0%	I am more aware of the different therapeutic CL modalities and their uses in treating OSD.
9.8%	I will be more aggressive in my use of therapeutic CLs to treat OSD.

Which of the following best describes your experience with the fundamental knowledge (FK) section of this assessment?

25.7%	I’m confident in my knowledge of CL topics and the FK section did nothing to change that.
27.4%	I was confident in my knowledge of CL topics but now realize that I need to improve/update my knowledge.
43.5%	I’m now more confident in my overall knowledge of CL topics.
3.3%	I’m not very confident in my knowledge of CL topics and the FK section did nothing to change that.