Changes in cataract and refractive surgery practice patterns among JSCRS members over the past 20 years

• Published in: Japanese journal of ophthalmology Vol. 68; no. 5; pp. 443 - 462
• Main Authors: Sato, Masaki, Kamiya, Kazutaka, Hayashi, Ken, Tabuchi, Hitoshi, Kojima, Takashi, Goto, Norihito, Hatsusaka, Natsuko, Torii, Hidemasa, Nagata, Mayumi, Miyata, Kazunori
• Format: Journal Article
• Language: English
• Published: Tokyo Springer Japan 01-09-2024; Springer Nature B.V
• Subjects: Anesthesia; Cataract Extraction - trends; Cataracts; Clinical Investigation; Cornea; Endophthalmitis; Eye surgery; Female; Humans; Injection; Intraocular lenses; Iodine; Japan - epidemiology; Male; Medicine; Medicine & Public Health; Middle Aged; Ophthalmology; Ophthalmology - statistics & numerical data; Polls & surveys; Polyvinyl alcohol; Practice Patterns, Physicians' - statistics & numerical data; Practice Patterns, Physicians' - trends; Presbyopia; Prophylaxis; Refractive Surgical Procedures - trends; Retrospective Studies; Societies, Medical; Surgery; Surveys; Surveys and Questionnaires; Japan; Cataract surgery; Survey; Intraocular lens; Japanese Society of Cataract and Refractive Surgery; Refractive surgery
• ISSN: 0021-5155; 1613-2246; 1613-2246
• DOI: 10.1007/s10384-024-01081-3

Purpose
To evaluate changes in cataract and refractive surgery practice patterns among members of the Japanese Society of Cataract and Refractive Surgery (JSCRS) over the past 20 years.
Study design
Questionnaire survey study.
Subjects and methods
Clinical surveys were conducted annually between February and April from 2004 to 2023. Survey questions covered various areas, including cataract surgical techniques, anesthesia, endophthalmitis prophylaxis, toric and presbyopia-correcting intraocular lenses (IOLs), complications, and refractive surgery.
Results
The highest (n=554 [36.8%]) and lowest (n=316 [19.1%]) numbers of responses were collected in 2012 and 2016, respectively. In perioperative management, the intraoperative use of polyvinyl alcohol-iodine solution and topical antibiotic prescription 3 days before surgery has increased. The use of intracameral injection at the end of surgery has also significantly increased, although it has not been established as common practice. In anesthesia, there is a clear polarization between the use of topical drops and tenon injection. The use of toric IOLs and presbyopia-correcting IOLs has significantly increased from 2010 to 2023. In the latter, the use of trifocal IOLs has particularly increased. Regarding IOL power calculations, the Barrett True K and the Barrett Universal II formulas are rapidly gaining popularity for application with and without post-laser vision correction, respectively. In refractive surgery, phakic IOLs and corneal refractive therapy have attracted considerable interest, followed by laser
in situ
keratomileusis.
Conclusions
Evaluation of annual clinical survey data over the past two decades provided valuable insights into the shifting practice patterns and clinical opinions among JSCRS members.