Eyeworld

Retina Respondents weighed in on when they choose to perform OCT prior to cataract surgery. In pa- tients where the view of the fundus is adequate, 43% of respondents said they will perform OCT 100% of the time. On the other end of the spec- trum, 14% said they will not perform OCT, and 16% said they will perform it 1–25% of the time. My impression is most patients have OCT prior to any cataract surgery, whether it's for a monofocal or premium lens, depending on prac- tice setting and penetrance of premium intraoc- ular lenses. The majority of respondents (60%) did not perform intravitreal injections for patients with wet or dry macular degeneration. Survey respondents also answered on the primary pathology reasons they find that preclude the implantation of a multifocal IOL. Age-related macular degeneration (AMD) had the largest percentage of responses, at 29%. Additionally, respondents indicated epiretinal membrane (25%), diabetic macular edema (9%), cystoid macular edema (7%), vitreomac- ular traction (4%), and chorioretinal scarring (3%), with 23% of respondents noting "other" reasons. While there are not firm contraindications for premium lenses, AMD and epiretinal mem- brane are common macular conditions, which make it more challenging to achieve perfect vision. –Michael Klufas, MD ASCRS Retina Clinical Committee Chair n=981 When you find pathology that precludes implantation of a multifocal IOL, what is the primary reason? 4% Vitreomacular traction 3% Chorioretinal scarring 23% Other AMD 29% 25% Epiretinal membrane 7% Cystoid macular edema 9% DME n=981 Do you personally perform intravitreal injections for your patients with wet or dry macular degeneration? YES BY SEGMENT 2025 Practice location U.S. 30% International 32% Years in practice Early stage (0–5 years) 38% Mid-stage (6–10 years) 39% Late stage (11+ years) 41% Perform majority of surgeries in Hospital outpatient department 50% Office 47% Gender Male 42% Female 36% No 60% 7% Yes, 1 to 5% 9% Yes, 6 to 10% 5% Yes, 11 to 20% 3% Yes, 21 to 40% 6% Yes, 41 to 99% 10% Yes, 100% 40% Personally perform intravitreal injections in patients with macular degeneration n=981 In what percentage of your patients, where the view of the fundus is adequate, do you perform optical coherence tomography (OCT) prior to cataract surgery? AVERAGE BY SEGMENT 2025 Practice location U.S. 65% International 66% Years in practice Early stage (0–5 years) 56% Mid-stage (6–10 years) 66% Late stage (11+ years) 64% Perform majority of surgeries in Hospital outpatient department 58% Office 58% Gender Male 61% Female 59% 61% Average patients in which OCT is performed prior to cataract surgery 0% 14% 16% 1–25% 12% 26–50% 8% 51–75% 7% 76–99% 43% 100%

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