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US Trends in Refractive Surgery: 2007 ASCRS Survey
Richard J. Duffey, MDRichard J. Duffey, MDDavid Leaming, MDDavid Leaming, MD
Chicago: April 8, 2008Chicago: April 8, 2008
DUFFEY 2008
Disclosures
The authors actually spend some of their The authors actually spend some of their own hard-earned dollars to cover the annual own hard-earned dollars to cover the annual printing and analyzing costs of this survey.printing and analyzing costs of this survey.
DUFFEY 2008
Lou Holtz “Rule of Tens”
Fewer than 10% of you will remember Fewer than 10% of you will remember more than 10% of what I said more than 10 more than 10% of what I said more than 10 minutes after I said it.minutes after I said it.
So, look for the *So, look for the *
DUFFEY 2008
2007 ASCRS Survey Sept. mailing to 4797 U.S. members of ASCRSSept. mailing to 4797 U.S. members of ASCRS 628 responses representing 13% of the U.S. ASCRS 628 responses representing 13% of the U.S. ASCRS
membershipmembership Eleventh year of refractive data collection allowing Eleventh year of refractive data collection allowing
analysis and comparison of trends amongst ASCRS U.S. analysis and comparison of trends amongst ASCRS U.S. surgeons surgeons
Alphabet soup of refractive surgery.Alphabet soup of refractive surgery. Added questions in recent years as the field has Added questions in recent years as the field has
incorporated new laser and refractive technologies incorporated new laser and refractive technologies including premium IOL’s.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 4times the pene-tration comparedto 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: Volume of LVC (U.S.) in 2007: 1.08 M eyes1.08 M eyes (1.12 M in ’06). 10 M since 1996.(1.12 M in ’06). 10 M since 1996.
P-IOLP-IOL (36%)(36%) and LASIK (23%) in high myopes. and LASIK (23%) in high myopes. VisXVisX still at > 3:1 ( still at > 3:1 (72%)72%) over all other lasers over all other lasers Greater than 30% penetrationGreater than 30% penetration of modern of modern
refractive surgery amongst refractive surgeons.refractive surgery amongst refractive surgeons. 84%84% (still rising) use MMC for prophylaxis / (still rising) use MMC for prophylaxis /
haze.haze.
DUFFEY 2008
2007 ASCRS SUMMARY
Most desired flap thickness is 120-130 microns. 100 Most desired flap thickness is 120-130 microns. 100 micron flap thickness is favored by micron flap thickness is favored by 20%20% of surgeons (up of surgeons (up from 11% two years ago).from 11% two years ago).
Only 1%Only 1% of respondents are OK with of respondents are OK with bilateralbilateral P-IOL P-IOL (11% last year) and 4% with RLE at the same surgical (11% last year) and 4% with RLE at the same surgical setting.setting.
ReStor ReStor (18%),(18%), ReZoom (10%) and accommodative IOLs ReZoom (10%) and accommodative IOLs (8%) are gaining popularity as lens-based presbyopia (8%) are gaining popularity as lens-based presbyopia options.options.
Thanks to ASCRS leadership for their support and for your
participation in the 2007 Survey
We look forward to your responses in We look forward to your responses in the 2008 survey this autumn.the 2008 survey this autumn.
Complete results this Friday at Complete results this Friday at www.duffeylaser.comwww.duffeylaser.com