Eyeworld

60 | EYEWORLD | APRIL 2020 YES CONNECT ATARACT C There's more to cataract surgery today than ever before, which leads to a lot of ground to cover in residency and fellowship. Not only do residents have to master the technical skill of cataract surgery, they also need to learn the nuances of IOL choices and advanced technology IOLs. Fortunately, our training programs seem to be making headway in this regard. In the 2019 ASCRS Clinical Survey, 67% of young eye surgeons who took the survey reported they were somewhat or very comfort- able with new lens technologies. Although there is still a ways to go, the increasing confidence of the youngest members of our profession in this area will help propel cataract surgery into a new era. For this month's column, we spoke with two experienced cataract surgeons who work with residents about how they are incorporating advanced technology lenses into their training programs. Read on for the tips and tricks they use when instructing residents and speaking to patients about an advanced technology lens. —Julie Schallhorn, MD YES Connect Co-Editor W hile the 2019 ASCRS Clinical Survey revealed that, on average, 10% of cataract cases include a presbyopia-correcting IOL, a strong number of young eye surgeons—those in training, fellowship, or their first 5 years of practice—are getting a good amount of exposure to these advanced technology lenses. Nearly 67% of young eye surgeons who took the survey said they were confident or very confident, given their training and/or oth- er experience, with the preop workup, implanta- tion, and management of these IOLs. Sixty-six percent of young eye surgeons had implanted at least one presbyopia-correcting IOL. Preeya Gupta, MD, finds the results from young eye surgeons encouraging. "If we had asked those questions even 5–10 years ago, we would have gotten a different answer. I'm pleasantly surprised that 66% had implanted presbyopia-correcting technology. I would love to see that number closer to 90% because I think everyone should try it at some point and have access to that safe arena where they can be mentored and can try something," she said. Having willing faculty and mentors who believe in the value of this technology is one thing; getting the patient on board for this out- of-pocket technology is another. Neeti Parikh, MD, said many residency training institutions have programs that allow the patient to get the advanced technology lens without charge. "They're told this is a teaching institution, and if they're willing to allow the resident to do the case, knowing that the attending is going Developing the skills for presbyopia-correcting IOLs by Liz Hillman Editorial Co-Director About the doctors Preeya Gupta, MD Associate professor of ophthalmology Duke University School of Medicine Durham, North Carolina Neeti Parikh, MD Assistant professor of ophthalmology University of California, San Francisco School of Medicine San Francisco, California continued on page 62 Source: 2019 ASCRS Clinical Survey Given your training and/or other experience you have received thus far, how confident are you with the preop work-up, implantation, and management of presbyopia-correcting lenses? 0% 10% 20% 30% 40% 50% Not confident at all Unconfident Neutral Confident Very confident 21.9% 44.8% N=105 23.8% 5.7% 3.8%

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