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

Reviewing Key Clinical Barriers to

Premium ChannelTechnology Adoption

•Large membership survey completed in April 2015 to assess clinical opinions and practice patterns•485 data points from 174 Questions •Focus on the most compelling and controversial issues facing the ASCRS membership•14 subspecialty sections–2,047 total unique respondents–3rd year of this survey

Key Clinical Barriers to Adoption of Advanced

Technologies in Cataract Surgery

Key Barriers to LACS Adoption

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

Key Barriers to Toric IOL Adoption

1. Acceptable levels of rotational error•29% believe > 10° rotation does not affect outcome

2. Tx selection for moderate astigmatism•49% would not implant Toric 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

Key Barriers to the Presbyopia Correction Technology Adoption•Cost to patient is far and away the greatest barrier to further conversion

Key Barriers to the Presbyopia Correction Technology Adoption•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 • 58% of presby-correction surgeons have access to LVC•Only 50% perform femto or manual LRIs