Key findings
Presbyopia-correcting IOLs account for 8% of cataract
procedures. 28% of doctors do not use presbyopia-
correcting IOLs at all, but 45% of this group said they
plan on incorporating these options within the next year.
The main reason for not using these advanced IOLs was
cost to the patient (55%), but concern over quality of
nighttime vision (36%) and a lack of confidence in the
available technology (33%) were also cited as barriers,
among other reasons.
Of those using presbyopia-correcting IOLs, 66% of
ophthalmologists obtain macular OCT preoperatively; U.S.
physicians are more likely to do so compared to non-U.S.
(77% vs. 55%, respectively). 13% of U.S. doctors do not
obtain OCT preoperatively for these patients. Most (69%)
reported 0.5 D of spherical deviation or less from intend-
ed target as likely to have an impact on visual quality
or patient satisfaction, while 8% think 1 D or more of
spherical deviation is a threshold for visual significance.
If an astigmatic patient wanted a multifocal IOL, which
would require 1.25 D of cylinder, 49% of surgeons said
they would implant a toric multifocal IOL. U.S. doctors
are more than twice as likely to select manual LRIs or
femtosecond laser-created AKs (33% compared to 25%
of non-U.S. surgeons) and are three times as likely to se-
lect a toric extended depth of focus IOL (19% compared
to 6%). While most who use presbyopia-correcting IOLs
do not mix and match (60%), 25% said they might do so
with similar IOLs of different powers.
Presbyopia correction
5 • 2017 ASCRS Clinical Survey
