EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.
Issue link: https://digital.eyeworld.org/i/815472
85 EW INTERNATIONAL May 2017 year, increased by 14.1% from 2000 to 2013. Twenty glaucoma and retinal surgeons (11.6% of all sur- geons) were responsible for 52% of all the procedures performed during the study period. Retinal surgeons performed the most secondary IOL surgery in 2013 compared to other ophthalmologic subspecialties, ac- counting for 39.3% of explantations, exchanges, and repositionings. The number of surgeons performing intraocular suturing increased by 250% from 2000 to 2013. Many of these suturing techniques, including intrascleral haptic fixation, were new and gaining acceptance during this period. The fact that a few designated surgeons are managing secondary IOL surgeries for a larger group of cataract surgeons corroborates the observations of another Canadian study that noted increased surgical activity among late– career and high-volume ophthalmologists compared to early career ophthal- mologists. 5 "To our knowledge, the rates of IOL repositioning and exchange have not been described at a popu- lation level in recent literature. This decreased incidence of secondary IOL procedures occurred despite growing indications for surgery, such as previous refractive surgery, increased expectation for emmetro- pia, and the introduction of multi- focal lenses, and may be attributed to improved outcomes in cataract surgery." Dr. Szigiato said. EW References 1. Lundström M, et al. The European Registry of Quality outcomes for cataract and refractive surgery (EUREQUO): A database of trends in volumes, surgical techniques and outcomes of refractive surgery. Eye and Vision 2015:1–9. 2. Jones JJ, et al. Indications and out- comes of intraocular lens exchange during a recent 5-year period. Am J Ophthalmol. 2014;157:154–162. E1. 3. Galor A, et al. Intraocular lens exchange surgery in dissatisfied patients with refractive intraocular lenses. J Cataract Refract Surg. 2009;35:1706–1710. 4. Sorenson R, et al. Practice patterns of cat- aract surgeons at academic medical centers for the management of inadequate capsule support for intracapsular or sulcus intraocular lens placement during cataract surgery. J Contact information Szigiato: a.szigiato@gmail.com Cataract Refract Surg. 2016;42:239–245. 5. Micieli JA, et al. Gender gap and declin- ing surgical activity among new graduates: Cataract surgery in Ontario. Can J Ophthalmol. 2016;51:154–60. Editors' note: Dr. Szigiato has no finan- cial interests related to this article.