Duffey US Trends in Refractive Surgery: 1997 ASCRS/ISRS Survey Richard Duffey, MD David Leaming, MD Theodore Werblin, MD, PhD

Duffey Sept Survey n 41% response rate from ISRS (833 US membership mailings with 345 responses) n 28% response rate from ASCRS (US membership over 6,000 with 5,000 randomized mailings and 1421 responses) n 226 responses represented dual membership in both ISRS and ASCRS and were tabulated in the ISRS data pool

Duffey >25 procedures per month for a given surgery

Duffey >75 procedures per month for a given surgery

Duffey Preferred surgery for diopter myope

Duffey Preferred surgery for diopter myope

Duffey Preferred surgery for diopter myope

Duffey Sometimes simultaneous bilateral surgery on patients

Duffey Relative percentages of 4,077 refractive surgeries performed on other doctors

Duffey Percentage of eligible refractive surgeons (myopes +/- astig) who would consider refractive surgery

Duffey Percentage of eligible refractive surgeons (myopia +/- astig) who have had refactive surgery

Duffey Surgeons with access to one or more excimer lasers

Duffey Which laser most commonly used by a given surgeon

Duffey Conclusions n The trend is away from incisional refractive surgery toward laser procedures n ISRS members had a higher acceptance of LASIK, bilateral simultaneous surgery, and performance of refractive procedures on other physicians and themselves n Higher volume refractive surgeons favor LASIK over other refractive procedures

Duffey THANKYOU AND THANKS TO BOTH THE ASCRS AND ISRS LEADERSHIP FOR THEIR COOPERATIVE SUPPORT IN THIS EFFORT