A comparison of cataract surgical practices in Canada and the United States

Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
Tyler SorensenRandall J Olson

Abstract

To determine cataract surgical practices in Canada and the United States. Cross-sectional study. 1250 clinician members of the Canadian Ophthalmological Society and U.S. state societies. This survey updated and expanded upon results of a 5-state survey published in 2006. Practices for the preceding 3 years were determined for the phacoemulsification machine, the ultrasound modality, the surgical approach, the viscoelastic, and the wound size used during cataract surgery. The participating surgeons responded concerning 963,543 surgeries. Canada had the busiest surgeons, who were more likely than their U.S. counterparts to use vertical chop and DisCoVisc. Surgeons above the median in surgical volume were more likely to use ultrapulse ultrasound, less likely to use a divide-and-conquer approach, and more likely to use a vertical chopping approach than were those below the median. The northeastern United States had the least busy surgeons. OZil is the most common ultrasound modality used today. This expanded survey revealed that practice patterns vary quite widely. Furthermore, the preponderance of OZil ultrasound since the 2006 survey shows that changes in the field can happen very rapidly.

References

Apr 20, 2004·Journal of Cataract and Refractive Surgery·David V Leaming
Jan 3, 2006·American Journal of Ophthalmology·Michael J Bradley, Randall J Olson
Jul 22, 2006·Journal of Cataract and Refractive Surgery·Michael FloydRandall J Olson
Aug 26, 2006·Journal of Cataract and Refractive Surgery·David V Leaming
Sep 29, 2009·Journal of Cataract and Refractive Surgery·Young Keun Han, Kevin M Miller
Apr 10, 2010·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Lindsay Ong-Tone, Ali Bell

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Citations

Dec 26, 2015·Journal of Cataract and Refractive Surgery·Gareth L GardinerRandall J Olson
Apr 27, 2016·Journal of Cataract and Refractive Surgery·Kerry D SolomonRobert J Cionni

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