Eyeworld

Retina Considering several retina topics, respondents provid- ed feedback on when they consider performing OCT prior to cataract surgery (when the view of the fundus is adequate). Is 64% OCT utilization enough in 2026? The 2026 ASCRS Clinical Survey reported that OCT is performed in an average of 64% of cataract patients when the fundus view is adequate. Additionally, 43% of respon- dents said they perform OCT 100% of the time. Given improved OCT availability and the frequency of occult macular disease, should preoperative OCT now be per- formed in an even higher percentage of patients? The survey also asked about pathology that precludes implantation of a multifocal IOL and the primary reasons, with the highest percentages of respondents choosing AMD or epiretinal membrane. A particularly important question is whether patients being considered for multifocal or other presbyopia- correcting IOLs receive preoperative OCT at an even higher rate—especially since AMD and epiretinal membrane were the two leading pathologies cited as reasons not to implant a multifocal IOL. Discussing what percentage of preoperative cat- aract surgery patients have macular pathology, 31% of respondents indicated 6–10%, and 22% indicated 11–20% (with an average of 11%). Macular pathology is common: Approximately 1 in 5 (20%) of preopera- tive cataract patients have macular pathology, reinforc- ing the value of looking beyond the cataract itself. —Michael Klufas, MD ASCRS Retina Clinical Committee Chair pq Statistically significant difference between segments n=817 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? (Select one) AVERAGE BY SEGMENT 2026 Practice location U.S. 68% p International 54% Years in practice Early stage (0–5 years) 62% Mid-stage (6–10 years) 67% Late stage (11+ years) 67% Perform majority of surgeries in Hospital outpatient department (HOPD) 59% Office 53% Gender Male 64% Female 63% 0% 43% 8% 11% 100% 14% 11% 1–25% 76–99% 13% 26–50% 51–75% 64% Average patients in which OCT is performed prior to cataract surgery n=817 When you find pathology that precludes implantation of a multifocal IOL, what is the primary reason? (Select one) 7% Macular chorioretinal scarring 5% Vitreomacular traction 6% Other AMD 30% 28% Epiretinal membrane 11% Cystoid macular edema 13% DME n=817 What percentage of your preoperative cataract surgery patients have macular pathology? AVERAGE BY SEGMENT 2026 Practice location U.S. 11% International 9% Years in practice Early stage (0–5 years) 11% Mid-stage (6–10 years) 11% Late stage (11+ years) 10% Perform majority of surgeries in Hospital outpatient department (HOPD) 11% Office 9% Gender Male 10% Female 11% 0% 19% 9% 3% I don't know 16% 22% 1–5% Over 20% 31% 6–10% 11–20% 11% Average preop cataract surgery patients who have macular pathology

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