ESCRS survey shows gradual, slow adoption of advanced-technology IOLs
Click Here to Manage Email Alerts
Key takeaways:
- Adoption of toric and presbyopia-correcting IOLs is increasing but still limited.
- Cost is the main barrier against IOLs for presbyopia, followed by nighttime vision and loss of contrast.
VILAMOURA, Portugal — The 2022 ESCRS Clinical Trends Survey showed increasing but still limited adoption of presbyopia-correcting and toric IOLs, with cost as the main barrier.
“Seven-year data trends show that since 2016, there has been an 8% point increase of cataract procedures involving toric IOLs, from 7% to 15%. Interestingly, if cost was not an issue, 36% of cataract patients with clinically significant astigmatism would receive a toric lens,” Rudy Nuijts, MD, PhD, said at the European Society of Cataract and Refractive Surgeons winter meeting.
Presbyopia-correcting IOLs had a lesser increase, from 7% to 11%.
Looking at the different types of lenses, the question “What type of presbyopia-correcting technology is used in the majority of your presbyopic patients?” showed that the adoption of bifocal implants has decreased significantly over the years, from 30% in 2016 to 4% in 2022, while extended depth of focus lenses are on the rise, from 15% in 2016 to 33% in 2022. Trifocal lenses had a peak of adoption of more than 60% in 2019 and have now leveled down to 50%.
More recent trends, comparing 2020 with 2022 survey data, showed that enhanced monofocal IOLs have also entered the scene (8%).
The biggest concerns revealed by respondents for not performing more presbyopia-correcting IOL procedures were loss of contrast (42%), nighttime vision (57%) and, above all, cost for the patient (69%).
The question “What is your most common procedure to manage astigmatism in a monofocal cataract patient?” showed that toric IOLs are the preferred choice with higher astigmatism from 1.75 D.
“However, there is no clear consensus for astigmatism of 1.25 D or less. The percentages of on-axis incision and toric IOLs are similar, and there is still a question of what is the threshold of astigmatism that would need a toric lens. An ESCRS project is underway to address this question,” Nuijts said.
Collapse
Nuijts R. Review of ESCRS presbyopia clinical survey data. Presented at: European Society of Cataract and Refractive Surgeons winter meeting; March 10-12, 2023; Vilamoura, Portugal.
Read more about
Click Here to Manage Email Alerts