US TRENDS IN REFRACTIVE SURGERY: 2001 ASCRS SURVEY Richard J. Duffey, MD David Leaming, MD Philadelphia: June 1, 2002

2001 SURVEY Sept. mailing to 5000 U.S. members of ASCRS 1005 responses representing 20% of the U.S. ASCRS membership Fifth year of refractive data collection allowing analysis and comparison of trends amongst ASCRS U.S. surgeons RK, AK, PRK, LASIK, LASEK, ICR, LTK/CK, P-IOL, CLE, SE, excimer lasers, microkeratomes, topography units

> 5 CASES / MONTH DUFFEY 2002

> 25 CASES / MONTH DUFFEY 2002

> 75 CASES / MONTH DUFFEY 2002

PREFERRED SURGERY FOR 30 yo -3.00 DIOPTER MYOPE DUFFEY 2002

PREFERRED SURGERY FOR 30 yo -7.00 DIOPTER MYOPE DUFFEY 2002

PREFERRED SURGERY FOR 30 yo -12.00 DIOPTER MYOPE DUFFEY 2002

PREFERRED SURGERY FOR 45 yo +1.00 D HYPEROPE DUFFEY 2002

PREFERRED SURGERY FOR 45 yo +3.00 D HYPEROPE DUFFEY 2002

PREFERRED SURGERY FOR 45 yo +5.00 D HYPEROPE DUFFEY 2002

HAD REFRACTIVE SURGERY PERFORMED ON YOURSELF DUFFEY 2002

SURGEON WILLING TO DO BILATERAL AT SAME VISIT DUFFEY 2002

PRESENT and/or FUTURE PRACTICE PLANS DUFFEY 2002

TOPOGRAPHY UNIT OWNED DUFFEY 2002

EXCIMER USED MOST DUFFEY 2002

MICROKERATOME USED MOST DUFFEY 2002

Anticipated Value of Custom Laser Ablations DUFFEY 2002

2001 ASCRS SURVEY CONCLUSIONS LASIK is still the refractive procedure of choice amongst ASCRS surgeons Bilateral same O.R. visit surgery is the accepted standard for LASIK Declining interest in ICR and increasing interest in LTK/CK** and P-IOL DUFFEY 2002

2001 ASCRS SURVEY LASEK: “the emperor’s new clothes” ? ASCRS surgeons are still awaiting the surgical solution for hyperopia VisX Star used 3:1 over all other lasers B-L microkeratomes dominate the market with Moria following Still great interest in custom ablations DUFFEY 2002

We look forward to your responses in the 2002 survey this fall Thanks to ASCRS leadership for their support and for your participation in the 2001 Survey We look forward to your responses in the 2002 survey this fall