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    Trends in U.S. refractive surgery: 2015 ISRS survey

    The 2015 International Society of Refractive Surgery (ISRS) survey—the twentieth such survey and the seventh year published online—presents new findings about surgeons’ preferences in corneal and lens-based surgeries, premium IOLs, and femtosecond cataract surgery.   

    Richard Duffey, MD, and David Leaming, MD, who have private practices in Mobile, AL and Yucca Valley, CA, respectively, compiled the data and presented their findings during Refractive Subspecialty Day at the 2015 meeting of the American Academy of Ophthalmology. The survey had a response rate of about 10%.  

    Related: Cataract surgery diagnostics spotlight continues to shine on integration with surgical technologies

    Among the highlights from the 2015 survey are that femtosecond laser-assisted refractive cataract surgery is performed more often and its use has risen from 19% to 29% over the past year. The data showed that of surgeons performing more than five surgeries monthly, this group increasingly performed femtosecond laser-assisted cataract surgery and implanted toric and presbyopia-correcting IOLs. Among surgeons performing more than 25 surgeries monthly, femtosecond laser-assisted cataract surgery took a big jump, with 26% using that technology and the toric and presbyopia IOLs were stable.

    This means that while femtosecond laser and implantation of toric and presbyopia-correcting lenses are not yet high-volume refractive surgeries, they are on the rise. LASIK and surface ablation procedures remained relatively stable over the past year.

    Surgeon preferences for treating myopia and hyperopia were noteworthy. For instance, treatment of a 30-year-old patient with high myopia (-10 D) was fairly consistent across the board, with 29% of surgeons choosing LASIK, 33% phakic IOLs, 15% surface ablation, and 20% doing nothing.           

    LASIK trends

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