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SPOTLIGHT ON THE PREMIUM CHANNEL:
PANEL DISCUSSION
Elizabeth Yeu, MD
Moderated By:
David Chang, MD
Participants:
Eric Donnenfeld, MD
Sherman Reeves, MD, MPH Denise Visco, MD
–3rd year of this survey
LACS
1. Viable reimbursement streams
• 77% do not have confidence in viable
reimbursement stream
2. Refractive advantages
3. Availability of clinical data
• 36% believe not enough data
4. Patient flow and access
• 22-29% concerned about patient flow and access
5. Future confidence does not seem to be a
significant barrier
• 94% believe they will use LACS by 10 years into
future
Toric IOL
1. Acceptable levels of rotational error
•29% believe > 10 rotation does not affect outcome
2. Tx selection for moderate astigmatism
•49% would not implantToric IOL in 1.25 D cyl
3. Diagnostic information selection
•No single tool used in >40%
4. Calculations of SIA and posterior corneal
astigmatism (PCA)
•Only 29% account for PCA
Presbyopia
CorrectionTechnology
•Cost to patient is far and away the greatest
barrier to further conversion
Presbyopia
CorrectionTechnology
•Perceived loss of visual quality is a significant
barrier
• 41% of surgeons believes that contrast sensitivity significantly
worsens after implantation of a multifocal IOL
•Toric & PCIOLs: Management of post-op
refractive error
• Only 50% perform femto or manual LRIs
SPOTLIGHT ON THE PREMIUM CHANNEL

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SPOTLIGHT ON THE PREMIUM CHANNEL

  • 1. SPOTLIGHT ON THE PREMIUM CHANNEL: PANEL DISCUSSION Elizabeth Yeu, MD Moderated By: David Chang, MD Participants: Eric Donnenfeld, MD Sherman Reeves, MD, MPH Denise Visco, MD
  • 2.
  • 3. –3rd year of this survey
  • 4.
  • 5. LACS 1. Viable reimbursement streams • 77% do not have confidence in viable reimbursement stream 2. Refractive advantages 3. Availability of clinical data • 36% believe not enough data 4. Patient flow and access • 22-29% concerned about patient flow and access 5. Future confidence does not seem to be a significant barrier • 94% believe they will use LACS by 10 years into future
  • 6. Toric IOL 1. Acceptable levels of rotational error •29% believe > 10 rotation does not affect outcome 2. Tx selection for moderate astigmatism •49% would not implantToric IOL in 1.25 D cyl 3. Diagnostic information selection •No single tool used in >40% 4. Calculations of SIA and posterior corneal astigmatism (PCA) •Only 29% account for PCA
  • 7. Presbyopia CorrectionTechnology •Cost to patient is far and away the greatest barrier to further conversion
  • 8. Presbyopia CorrectionTechnology •Perceived loss of visual quality is a significant barrier • 41% of surgeons believes that contrast sensitivity significantly worsens after implantation of a multifocal IOL •Toric & PCIOLs: Management of post-op refractive error • Only 50% perform femto or manual LRIs