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US Trends in Refractive Surgery: 2007 ASCRS Survey. Richard J. Duffey , MD David Leaming , MD Chicago: April 8 , 2008. Disclosures. The authors actually spend some of their own hard-earned dollars to cover the annual printing and analyzing costs of this survey.
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US Trends in Refractive Surgery: 2007 ASCRS Survey Richard J. Duffey, MD David Leaming, MD Chicago: April 8, 2008
Disclosures • The authors actually spend some of their own hard-earned dollars to cover the annual printing and analyzing costs of this survey. DUFFEY 2008
Lou Holtz “Rule of Tens” • Fewer than 10% of you will remember more than 10% of what I said more than 10 minutes after I said it. • So, look for the * DUFFEY 2008
2007 ASCRS Survey • Sept. mailing to 4797 U.S. members of ASCRS • 628 responses representing 13% of the U.S. ASCRS membership • Eleventh year of refractive data collection allowing analysis and comparison of trends amongst ASCRS U.S. surgeons • Alphabet soup of refractive surgery. • Added questions in recent years as the field has incorporated new laser and refractive technologies including premium IOL’s. DUFFEY 2008
Preferred Surgery for 30 yo -10.00 Diopter Myope * DUFFEY 2008
Preferred Surgery for 45 yo +3.00 D Hyperope * DUFFEY 2008
Preferred Surgery for 45 yo +5.00 D Hyperope * DUFFEY 2008
Currently are a Refractive Surgeon and have had Refractive Surgery Performed on Yourself *Greater than 4 times the pene- tration compared to general public DUFFEY 2008
Surgeon Willing to do Bilateral Surgery at the Same Visit * DUFFEY 2008
Microkeratome Used Most * 25% DUFFEY 2008
Epi-Keratome Use DUFFEY 2008
Excimer Used Most * DUFFEY 2008
Wavefront-Guided Custom Ablations in Your Practice * DUFFEY 2008
Preferred Surgery for Presbyopia *Multifocal IOLs 36% DUFFEY 2008
Do You Intra-operatively Measure Flap Thickness? * DUFFEY 2008
Preferred Flap Thickness (when no other constraints) * * DUFFEY 2008
Minimum Residual Stromal Bed Thickness Requirement * DUFFEY 2008
Total Cases of Post LASIK Ectasia as the Primary Surgeon in Career *the numbers are not growing DUFFEY 2008
Minimum Preop Corneal Pachymetry for LASIK(all other parameters normal) * * * DUFFEY 2008
Mitomycin-C Use (MMC) * DUFFEY 2008
Will You Perform Refractive Surgery on One-Eyed Patients * DUFFEY 2008
When Co-managed, Who Sees Postop LASIK Patient on Day 1 ? DUFFEY 2008
Minimum “OR” Location for Phakic-IOL Surgery * DUFFEY 2008
Refractive Surgery Volumes (extrapolated data in thousands) DUFFEY 2008
2007 ASCRS SUMMARY • Volume of LVC (U.S.) in 2007: 1.08 M eyes (1.12 M in ’06). 10 M since 1996. • P-IOL(36%)and LASIK (23%) in high myopes. • VisX still at > 3:1 (72%)over all other lasers • Greater than 30% penetrationof modern refractive surgery amongst refractive surgeons. • 84% (still rising) use MMC for prophylaxis / haze. DUFFEY 2008
2007 ASCRS SUMMARY • Most desired flap thickness is 120-130 microns. 100 micron flap thickness is favored by 20%of surgeons (up from 11% two years ago). • Only 1% of respondents are OK with bilateral P-IOL (11% last year) and 4% with RLE at the same surgical setting. • ReStor(18%),ReZoom(10%) and accommodative IOLs (8%) are gaining popularity as lens-based presbyopiaoptions. DUFFEY 2008
Thanks to ASCRS leadership for their support and for your participation in the 2007 Survey We look forward to your responses in the 2008 survey this autumn. Complete results this Friday at www.duffeylaser.com
