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Dutch cataract volume increasing

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MUNICH, Germany — In 2002, cataract surgery volume in the Netherlands increased 10% over the previous year, according to the sixth annual survey on practice styles and preferences of Dutch surgeons.

Ype Henry, MD, reported the results of the survey here at the European Society of Cataract and Refractive Surgeons meeting. Surveys were sent to 402 surgeons, of which 292 were returned, a response rate of 73%.

According to the survey results, the average Dutch surgeon performed between 26 and 50 cataract procedures per month in 2002. Retrobulbar anesthesia is still preferred by 58% of Dutch ophthalmologists, but use of topical anesthesia has increased to 18%.

Regarding incision preference, 45% of surgeons reported they use a corneoscleral incision, and 30% said they use a clear corneal incision.

Healon (sodium hyaluronate, Pfizer) remains the most preferred viscoelastic.

Dr. Henry said 98% of surgeon respondents perform cataract surgery using phacoemulsification, and 43% prefer a divide-and-conquer surgical technique. Sutureless surgery is preferred by 88%.

Acrylic is the most popular IOL material, preferred by 60% of surgeons. Foldable lenses are used by 75% of surgeons.