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6 | 2019 ASCRS CLINICAL SURVEY: YOUNG EYE SURGEONS CLINICAL SURVEY 2019 I think this data overwhelmingly shows that training programs are doing a great job. I think the most interesting thing is that LRIs are not being taught well. The residents are not being trained well on managing astigmatism patterns on their own. I think the overall tenor of this survey shows we are doing much better than in prior decades. Michael Patterson, DO EyeWorld YES Connect Co-Editor More young eye surgeon members are getting experience with manual astigmatic incisions. This is important, as it is an easy (and economical) way to get comfortable managing corneal astigmatism at the time of cataract surgery. Young eye surgeon members are getting exposure to toric, multifocal, and EDOF IOLs. This is likely due to continued support from industry. Most companies allow three to five evaluation lenses so young eye surgeons can get experience with these technologies at no cost to their patients. Young eye surgeon members continue to have somewhat limited exposure to personally managing zonular weakness. This is likely due to the limited number of cases that they perform. That being said, on the whole, more than 70% have some personal exposure to these challenging cases. Iris rings continue to be the most common way to address small pupil cases (followed by OVD, iris hooks, and pharmacologic methods in almost equal percentages), with no young eye surgeon members employing iris stretching techniques. Sumit "Sam" Garg, MD Young Eye Surgeons Clinical Committee Chair Copyright © 2020 American Society of Cataract and Refractive Surgery (ASCRS). All rights reserved. No part of this may be reproduced without written permission from ASCRS, 12587 Fair Lakes Circle, Suite 348, Fairfax, VA 22033. When comparing the 2018 to 2019 data, there is a definite increase not only in confidence level by the respondents but also the actual numbers of refractive cases they are performing. We can conclude that residency/fellowship programs are doing a better job of exposing their trainees to these types of procedures and IOLs. Additionally, for the young eye surgeons who are finished with training, they are clearly getting more exposure to new technologies after they graduate. In many of these cases, it is happening through ASCRS-sponsored programs, wet labs, and industry-supported educational events. On all levels the increased exposure is truly impressive. There has been a lot of buzz about pharmacologic options for pupillary dilation being the one-stop option, but these results demonstrate that for young eye surgeons, iris rings are actually used more often in practice, which highlights the continued importance of exposure for young eye surgeons to these devices. Soroosh Behshad, MD, MPH EyeWorld YES Connect Co-Editor

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