3
Multifocal IOLs
The survey also revealed multifocal IOL trends
among members.
Regarding patients receiving presbyopia-
correcting IOLs, 44% of respondents believe
0.75 D or more postoperative residual cylinder
error is acceptable after surgery (Figure 3).
Approximately half do not use laser vision
correction to correct residual cylinder.
When respondents were asked how satis-
fied their presbyopia-correcting IOL patients
were with their outcomes at near, intermedi-
ate, and distance 1 year after surgery, patients
were significantly less satisfied with their
intermediate vision (Figure 4).
Closing the gap
Based on needs identified from this survey,
this supplement highlights strategies and rec-
ommendations from some of ophthalmology's
leading experts on toric and multifocal IOLs.
Reference
1. ASCRS Clinical Survey 2014. Global Trends in
Ophthalmology. Fairfax, VA: American Society of
Cataract & Refractive Surgery, 2014.
Dr. Mah is director of the cornea service and co-
director of the refractive surgery service, Scripps
Clinic, La Jolla, Calif. He can be contacted at
Mah.Francis@Scrippshealth.org.
continued from page 1
"
Regarding patients receiving
presbyopia-correcting IOLs, 44% of
respondents believe 0.75 D or more
postoperative residual cylinder error
is acceptable after surgery.
"
Figure 3. The survey asked, "In patients implanted with a presbyopia-correcting IOL, what is the
lowest amount of postoperative residual cylinder error that you consider to be visually significant?"
The average was 0.63 D, and 44.0% stated 0.75 D or greater.
44% believe >0.75 D of residual error is acceptable,
and half do not use LVC to manage residual error
Most likely method to correct significant amount of residual cylinder
U.S. Non-U.S. Overall
Laser vision correction 52.4% 63.4% 58.0%
LRI/AK 34.4% 11.0% 22.3%
Glasses or contact lenses 13.2% 22.9% 18.4%
Other 0.0% 2.6% 1.4%
Figure 4. The survey asked, "Overall, how satisfied are your presbyopia-correcting IOL patients with
their outcomes at the following distances at 1 year postop? (0=Least satisfied, 10=Most satisfied)"
Intermediate vision has significantly lower levels of satisfaction
Average
U.S. Non-U.S. Overall
Near vision 7.2 7.6 7.4
Intermediate vision 6.2 6.0 6.1
Distance vision 8.3 8.2 8.3
The 2014 ASCRS
Clinical Survey
included 267 data
points from 134
questions on key
clinical opinions and
practice patterns. It
surveyed more than
1,500 unique
respondents.
