Current Canadian opinions on refractive surgery and approaches to presbyopia correction

Session Details

Session Title: Presented Poster Session: Refractive Surgery New Techniques/Instrumentation/Devices III

Venue: Poster Village: Pod 2

First Author: : H.Chung CANADA

Co Author(s): :    E. Sanders   G. Rocha   J. Bhamra                 

Abstract Details

Purpose:

“Well, what would you do, doc?” is a commonly encountered question in clinical practice. With the wide variety of surgical options available for refractive and presbyopic correction, it can be daunting for patients seeking advice. As a follow-up to our survey of members of the American Society of Cataract and Refractive Surgery (ASCRS) in 2014, we sought perspectives from the Canadian ophthalmological community on these topics.

Setting:

University of Calgary

Methods:

Electronic survey distributed through the Canadian Ophthalmological Society from November to December 2017.

Results:

87 responses (7.0% response rate): 71.8% male, average age 46.1 (24-83 years), 43.7% practicing over 15 years. For presbyopia correction, most (54.2%) preferred spectacles, while 22.2% chose some form of lenticular surgery. For refractive correction, 38.3% would undergo laser refractive surgery (LRS), 56.1% lenticular refractive surgery (lenRS), and 29.1% femtosecond laser-assisted cataract surgery (FLACS). The most popular intraocular lens was monofocal or toric (35.8% each). Using Pearson chi-squared analysis, there was significant association between performing LRS and willingness to undergo LRS (X2(1)=11.451, p=0.001). Male gender had significant impact on willingness to undergo LRS (X2(1)=8.202, p=0.004), but not lenRS or FLACS.

Conclusions:

Interestingly, compared to our ASCRS cohort consisting predominantly of Americans, lenticular refractive surgery is more popular among Canadian ophthalmologists (56.1% vs. 45.3%) while laser refractive surgery (38.3% vs. 51.5%) and FLACS (29.1% vs. 46.6%) are not.

Financial Disclosure:

None