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Patient-reported outcome measures (PROMs) are typically acquired from standardised questionnaires designed to capture patients’ own perspectives on their health, symptoms, functioning and quality of life (QoL). Unlike clinician-assessed endpoints, PROMs are meant to provide a direct account of how disease and treatment affect daily living and well-being. In a 2013 BMJ commentary, Nick Black argued that PROMs could transform healthcare by, for example, making it more patient-centred and enabling benchmarking of provider performance.1 Black called not only for PROMs to be used as trial endpoints but also for their integration into clinical practice and health system evaluation. A BMJ commentary, cited more than 2000 times, is hard to ignore. Yet, more than a decade later, ophthalmology has been slow in the uptake of this idea as evidenced by 2 articles published in this issue of BJO.