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US trends in refractive surgery: 2003 ISRS/AAO survey
Richard J Duffey1, David Leaming
1duffey@duffeylaser.com
Journal of Refractive Surgery (Thorofare, N.J. : 1995)
|February 24, 2005
Summary
Laser in situ keratomileusis (LASIK) dominated refractive surgery in 2003, with other procedures like photorefractive keratectomy and clear lens extractions showing promise. Many refractive surgery trends are evolving.
Area of Science:
- Ophthalmology
- Surgical Innovation
- Vision Correction Technology
Background:
- Refractive surgery has become a mainstream ophthalmology procedure.
- Continuous advancements necessitate tracking current trends and technologies.
- Understanding procedural preferences and technology adoption is crucial for the field.
Purpose of the Study:
- To identify the latest trends in refractive surgery within the United States in 2003.
- To analyze the adoption and preference of various refractive surgery techniques and technologies.
- To document shifts in surgical practices and patient management.
Main Methods:
- A survey was distributed to U.S. members of the International Society of Refractive Surgery.
- The survey collected data on surgical volumes, procedure types, and technology usage in 2003.
- Specific procedures and technologies examined included LASIK, PRK, phakic intraocular lenses, and wavefront analyzers.
Main Results:
- Laser in situ keratomileusis (LASIK) was the dominant procedure for refractive errors between -8.00 and +3 diopters.
- Phakic intraocular lenses (PIOL) and clear lens extractions (CLE) are utilized for specific refractive errors (high myopia and hyperopia, respectively).
- Photorefractive keratectomy (PRK), LASIK, LASEK, CLE, PIOL, and conductive keratoplasty (CK) show positive future outlooks, while RK, ICR, LTK, and SE are declining.
Conclusions:
- Refractive surgery continues to evolve, with LASIK leading current trends.
- Emerging technologies and procedures indicate a dynamic future for vision correction.
- This survey highlights ongoing shifts in ophthalmological practices regarding refractive surgery.