Eyeworld

pq Statistically significant difference between years (all charts above) PRESBYOPIA CORRECTION 2025 2026 Reasons for not performing presbyopia-correcting procedures Lack of accessibility to laser vision correction to correct residual error 10% 15% p I'd like to present option, but my patients cannot afford additional cost 7% 13% p Concern over quality vision 8% 12% I don't think patients will want to pay out-of-pocket 9% 9% Prevalence over ocular co-morbidities 6% 6% Concern over inadequate unaided near vision 4% 3% Concern over inadequate unaided intermediate vision 1% 2% Concern over inadequate unaided distance vision 7% 2% q Presbyopia-correcting options used the most often Trifocal IOLs 57% 60% Extended depth of focus (EDOF) IOLs 63% 56% q Enhanced monovision IOLs 40% 37% Light Adjustable Lens (LAL) 21% 23% Small aperture 2% 4% Significant shifts from 2025 – Presbyopia Correction Significant shifts from 2025 – Cataract and Astigmatism Management CATARACT 2025 2026 Ancillary devices/instruments/implants used during cataract surgery Trypan blue 78% 65% q Capsule tension ring 70% 56% q Non-hook pupillary expansion device 47% 39% q OVD soft shell technique 39% 33% Pupil hook 41% 35% q Capsule retractor 35% 28% Sutures to fixate an IOL 31% 19% q Sutures to repair an iris defect 28% 20% Capsule tension segment 20% 16% miLoop 13% 8% Artificial iris device 10% 8% Zepto 3% 2% Confidence in customizing phaco machine settings Confident/very confident 71% 65% q Method use knowledge Owner or part owner 32% 26% q Pay a click fee at open-access center 23% 23% HOPD or ASC purchased or leases the laser that I use 25% 34% Utilize roll on/roll off machine 9% 9% Other 11% 8% ASTIGMATISM MANAGEMENT 2025 2026 Degrees of postop rotational error acceptable Average degrees 8.6 9.2 <5 degrees 38% 31% q 6–10 degrees 41% 41% 11–15 degrees 14% 17% 16–20 degrees 3% 7% 21–25 degrees 2% 2% 26–30 degrees 1% 1% 30+ degrees 1% 1% CORNEA 2025 2026 Percentage of patients presenting with OSD preop 0% 15% 4% q 1–20% 28% 23% q 21–40% 27% 30% 41–60% 17% 24% p 61–80% 9% 14% p 81–100% 4% 5% Average 30% 38% p Tests used for OSD Fluorescein staining/TBUT 76% 64% q Dry eye questionnaire 47% 38% q Topography for management or diagnosis of OSD 37% 35% Schirmer's testing 41% 33% q Diagnostic meibomian gland expression 27% 20% q Meibography 17% 13% Rose bengal/lissamine green staining 12% 12% Osmolarity 16% 11% q MMP-9 markers 8% 8% Premium IOL considered appropriate Small aperture IOL 19% 24% p Toric IOL 12% 10% EDOF IOL 12% 10% Multifocal IOL 6% 4% Pseudoaccommodating IOL 1% 4% I would not implant a premium IOL in an irregular cornea 50% 35% q Significant shifts from 2025 – Cornea

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