Result Summary for Survey:Ophthalmology - What your colleagues are doing and thinking in 2008

What Doctors Think

Survey Results

Ophthalmology - What your colleagues are doing and thinking in 2008

1. What is your subspecialty in Ophthalmology? Click all that apply.
		Response Percent	Response Count
General comprehensive ophthalmology		52.2%	48
Medical retina		10.9%	10
Medical and surgical retina/vitreous		16.3%	15
Neuroophthalmology		5.4%	5
Oculoplastics and orbit		13.0%	12
Cornea, external disease and anterior segment		22.8%	21
Refractive Surgery		20.7%	19
Pediatric ophthalmology & strabismus		8.7%	8
Glaucoma		14.1%	13
Other (please specify)			6
	answered question		92
	skipped question		0

2. How many years have you been in practice?
		Response Percent	Response Count
Under 10		29.3%	27
11-15		20.7%	19
16-20		16.3%	15
21-25		10.9%	10
26-30		13.0%	12
more than 30		9.8%	9
	answered question		92
	skipped question		0

3. Are you using the multifocal or accomodative IOLs for your cataract surgery?
		Response Percent	Response Count
Yes		32.2%	28
No		69.0%	60
	answered question		87
	skipped question		5

4. If you are using accomodative or multifocal IOLs which one do you prefer? Please check one only.
		Response Percent	Response Count
Alcon ReSTOR		54.5%	18
AMO ReZoom		24.2%	8
Eyeonics Crystalens		15.2%	5
Other (please specify)		18.2%	6
	answered question		33
	skipped question		59

5. When you implant a multifocal or accomodative IOL in both eyes, what combination of IOLs do you prefer?
		Response Percent	Response Count
ReSTOR + ReSTOR		39.4%	13
ReSTOR + ReZoom		24.2%	8
ReSTOR + Crystalens		0.0%	0
ReZoom + ReZoom		15.2%	5
ReZoom + Crystalens		0.0%	0
Crystalens + Crystalens		15.2%	5
Other (please specify)		18.2%	6
	answered question		33
	skipped question		59

6. Considering that a multifocal IOL costs the doctor approximately $1,000., how much extra do you charge the patient per eye for an accomodative IOL (on top of the standard charge for your cataract/IOL surgery)?
		Response Percent	Response Count
$1,000. - $1,499.		50.0%	17
$1,500. - $1,999.		29.4%	10
$2,000. - $2,499.		11.8%	4
$2,500. - $2,999.		8.8%	3
$3,000. - $3,499.		0.0%	0
$3,500. or more		0.0%	0
	answered question		34
	skipped question		58

7. Do you perform clear lens extraction surgery for refractive purposes?
		Response Percent	Response Count
Yes		26.3%	21
No		73.8%	59
	answered question		80
	skipped question		12

8. When you do clear lens extraction surgery which IOL do you prefer to implant?
		Response Percent	Response Count
ReSTOR		50.0%	15
ReZoom		13.3%	4
Crystalens		16.7%	5
Other (please specify)		20.0%	6
	answered question		30
	skipped question		62

9. Are you using Toric IOLs for your cataract surgery?
		Response Percent	Response Count
Yes		31.2%	24
No		70.1%	54
	answered question		77
	skipped question		15

10. Which Toric IOL do you prefer for your cataract surgery?
		Response Percent	Response Count
Staar Toric IOL		3.2%	1
Alcon Acrysof Toric IOL		87.1%	27
Other (please specify)		9.7%	3
	answered question		31
	skipped question		61

11. Do you treat Macular Degeneration?
		Response Percent	Response Count
Yes		47.3%	43
No		52.7%	48
	answered question		91
	skipped question		1

12. What is your preferred drug for treating wet Macular Degeneration?
		Response Percent	Response Count
Visudyne		4.3%	2
Macugen		2.2%	1
Avastin		67.4%	31
Lucentis		34.8%	16
Other (please specify)		8.7%	4
	answered question		46
	skipped question		46

13. Do you believe that Avastin and Lucentis are equivalent in efficacy for treating Macular Degeneration?
		Response Percent	Response Count
Yes		84.0%	63
No		16.0%	12
	answered question		75
	skipped question		17

14. Should Genentech, the manufacturer of Avastin and Lucentis, place any restrictions on the sale or distribution of Avastin to ophthalmologists or pharmacies that prepare Avastin for use by ophthalmologists?
		Response Percent	Response Count
Yes		6.5%	5
No		93.5%	72
Comments:			7
	answered question		77
	skipped question		15

15. Do you routinely prescribe the AREDS recommended vitamins/antioxidants for your Macular Degeneration patients?
		Response Percent	Response Count
Yes		83.0%	73
No		17.0%	15
	answered question		88
	skipped question		4

16. If you do vitreoretinal surgery, are you using 25 gauge vitrectomy instrumentation?
		Response Percent	Response Count
Yes		57.1%	16
No		42.9%	12
	answered question		28
	skipped question		64

17. Do you inform your patients who take erectile dysfunction drugs (Viagra, Levitra, Cialis) that they may get optic neuritis and permanent loss of vision from these medications?
		Response Percent	Response Count
Yes		34.5%	29
No		65.5%	55
	answered question		84
	skipped question		8

18. Do you treat patients with cosmetic BOTOX?
		Response Percent	Response Count
Yes		23.9%	22
No		76.1%	70
	answered question		92
	skipped question		0

19. Do you treat patients with cosmetic fillers (Restylane, Juvederm, Radiesse and others)?
		Response Percent	Response Count
Yes		4.4%	4
No		95.6%	86
	answered question		90
	skipped question		2

20. Do you perform corneal transplant surgery?
		Response Percent	Response Count
Yes		25.3%	23
No		74.7%	68
	answered question		91
	skipped question		1

21. Do you perform DSEK/DSAEK corneal transplant surgery?
		Response Percent	Response Count
Yes		7.9%	7
No		92.1%	82
	answered question		89
	skipped question		3

22. If you perform DSEK/DSAEK corneal transplant surgery what is your incidence of slipped grafts?
		Response Percent	Response Count
Less than 5%		36.4%	4
6-10%		45.5%	5
11-20%		9.1%	1
21% or more		9.1%	1
	answered question		11
	skipped question		81

23. If you perform DSEK/DSAEK corneal transplant surgery what is your incidence of graft failure that requires a repeat transplant (of any type)?
		Response Percent	Response Count
Less than 5%		80.0%	8
6-10%		20.0%	2
11-20%		0.0%	0
21-50%		0.0%	0
51% or more		0.0%	0
	answered question		10
	skipped question		82

24. If you perform DSEK/DSAEK corneal transplant surgery how do you obtain your donor corneal lenticle?
		Response Percent	Response Count
Prepare it in the operating room		40.0%	4
Get it from Corneal Eye Bank		50.0%	5
Other (please specify)		10.0%	1
	answered question		10
	skipped question		82

25. Do you fit contact lenses in your practice?
		Response Percent	Response Count
Yes		47.8%	44
No		52.2%	48
	answered question		92
	skipped question		0

26. Do you do refractive surgery?
		Response Percent	Response Count
Yes		31.5%	29
No		68.5%	63
	answered question		92
	skipped question		0

27. What is your preferred type of refractive surgery with an excimer laser?
		Response Percent	Response Count
LASIK		88.2%	30
PRK		5.9%	2
LASEK		2.9%	1
Other (please specify)		11.8%	4
	answered question		34
	skipped question		58

28. When you perform LASIK, what is your preferred method for creating the corneal flap?
		Response Percent	Response Count
Microkeratome		56.7%	17
AMO Intralase laser		43.3%	13
Ziemer Femto LDV laser		6.7%	2
Other laser			1
	answered question		30
	skipped question		62

29. When you create a laser flap for LASIK with either the Intralase or Ziemer lasers, what is the thinnest flap that you will create?
		Response Percent	Response Count
120 microns		21.7%	5
115 microns		0.0%	0
110 microns		43.5%	10
105 microns		4.3%	1
100 microns		21.7%	5
95 microns		0.0%	0
90 microns		8.7%	2
85 microns		0.0%	0
80 microns		0.0%	0
less than 80 microns		0.0%	0
	answered question		23
	skipped question		69

30. Which excimer laser do you use for refractive surgery?
		Response Percent	Response Count
VISX/AMO		67.7%	21
Ladarvision		6.5%	2
Nidek		0.0%	0
Zeiss MEL 80		12.9%	4
Wavelight Allegretto		6.5%	2
Bausch & Lomb Zyoptix		9.7%	3
Other (please specify)		3.2%	1
	answered question		31
	skipped question		61

31. Do you use Intacs Intracorneal rings?
		Response Percent	Response Count
Yes, for treating keratoconus		13.9%	11
Yes, for treating post LASIK/PRK ectasia		7.6%	6
No		84.8%	67
	answered question		79
	skipped question		13

32. Do you implant phakic-IOLs for refractive surgery?
		Response Percent	Response Count
Yes, the AMO Verisyse ARTISAN IOL		9.2%	7
Yes, the Staar Visian ICL		6.6%	5
No		84.2%	64
Other (please specify)		0.0%	0
	answered question		76
	skipped question		16

33. Do you perform Conductive Keratoplasty?
		Response Percent	Response Count
Yes, with the Refractec ViewPoint CK System		3.7%	3
No		96.3%	78
Other (please specify)		0.0%	0
	answered question		81
	skipped question		11

34. In LASIK, assuming that you will leave behind 250 microns of post-treatment base stroma, what is the thinnest cornea you will perform LASIK on?
		Response Percent	Response Count
520 microns		10.0%	3
515 microns		3.3%	1
510 microns		6.7%	2
505 microns		0.0%	0
500 microns		40.0%	12
495 microns		10.0%	3
490 microns		16.7%	5
485 microns		3.3%	1
480 microns		3.3%	1
less than 480 microns		6.7%	2
	answered question		30
	skipped question		62

35. When performing PRK, assuming that you will leave behind a 250 micron post-treatment corneal stromal base, what is the thinest cornea you'll do PRK on?
		Response Percent	Response Count
520 microns		3.2%	1
515 microns		3.2%	1
510 microns		3.2%	1
505 microns		6.5%	2
500 microns		3.2%	1
495 microns		3.2%	1
490 microns		16.1%	5
485 microns		6.5%	2
480 microns		25.8%	8
475 microns		9.7%	3
470 microns		6.5%	2
less than 470 microns		19.4%	6
	answered question		31
	skipped question		61

36. In refractive surgery, which method for measuring preoperative corneal thickness do you believe is most reliable?
		Response Percent	Response Count
Optical pachymetry		7.7%	3
Ultrasound pachymetry		59.0%	23
Orbscan pachymetry		17.9%	7
Pentacam pachymetry		28.2%	11
Other (please specify)		2.6%	1
	answered question		39
	skipped question		53

37. Which company's phacoemulsification machine do you use for your cataract surgery?
		Response Percent	Response Count
Alcon		81.7%	58
AMO		21.1%	15
Bausch & Lomb		9.9%	7
Nidek		0.0%	0
Dutch Ophthalmic		0.0%	0
American Optisurgical		0.0%	0
Other (please specify)		0.0%	0
	answered question		71
	skipped question		21

38. How do you measure axial length prior to cataract surgery?
		Response Percent	Response Count
A-Scan		62.2%	46
IOL Master		47.3%	35
Other (please specify)		4.1%	3
	answered question		74
	skipped question		18

39. What is your preferred initial treatment for open angle glaucoma?
		Response Percent	Response Count
Pharmaceuticals		93.6%	73
Laser Trabeculoplasty		2.6%	2
Selective Laser Trabeculoplasty		3.8%	3
Filtering surgery		0.0%	0
	answered question		78
	skipped question		14

40. Which is your first line drug for treating open angle glaucoma?
		Response Percent	Response Count
Alphagan (or generic)		4.7%	4
Iopidine		0.0%	0
Trusopt		0.0%	0
Azopt		0.0%	0
Timoptic (or other brands or generic)		17.6%	15
Travatan		8.2%	7
Travatan-Z		15.3%	13
Lumigan		12.9%	11
Xalatan		55.3%	47
Pilocarpine		0.0%	0
Cosopt		2.4%	2
Combigan		0.0%	0
Other (please specify)			0
	answered question		85
	skipped question		7

41. Which is your preferred prostaglandin for treating open angle glaucoma?
		Response Percent	Response Count
Xalatan		69.0%	58
Travatan		8.3%	7
Travatan-Z		15.5%	13
Lumigan		11.9%	10
	answered question		84
	skipped question		8

42. Which is your preferred antibiotic eye drop for prophylaxis prior to intraocular surgery?
		Response Percent	Response Count
Zymar		34.7%	26
Vigamox		49.3%	37
Azasite		1.3%	1
Neosporin		2.7%	2
Gentamicin		5.3%	4
Tobramycin		9.3%	7
Quixin		1.3%	1
Iquix		2.7%	2
Other (please specify)			8
	answered question		75
	skipped question		17

43. Which antibiotic eye drop do you prefer for treating presumed bacterial conjunctivitis?
		Response Percent	Response Count
Gentamicin		7.6%	6
Tobramycin		16.5%	13
Neosporin		6.3%	5
Vigamox		30.4%	24
Zymar		22.8%	18
Azasite		5.1%	4
Quixin		6.3%	5
Iquix		6.3%	5
Polytrim		10.1%	8
Other (please specify)			10
	answered question		79
	skipped question		13

44. When performing cataract surgery on patients who have open angle glaucoma on multiple medications, what additional procedures will you perform during the cataract surgery?
		Response Percent	Response Count
No additional procedures -- continue preoperative medications		63.2%	48
Do endocyclophotocoagulation at time of cataract surgery		5.3%	4
Do filtering surgery at the time of cataract surgery		34.2%	26
	answered question		76
	skipped question		16

45. Do you use Electronic Medical Records in your practice?
		Response Percent	Response Count
Yes		39.6%	36
No		60.4%	55
	answered question		91
	skipped question		1

46. If Medicare continues to reduce reimbursement for cataract surgery, at what level of reimbursement will you consider not performing cataract surgery any more?
		Response Percent	Response Count
Under $600.		23.9%	17
Under $550.		15.5%	11
Under $500.		19.7%	14
Under $450.		9.9%	7
Under $400.		8.5%	6
Under $350.		14.1%	10
Other (please specify)		11.3%	8
	answered question		71
	skipped question		21

47. Do you like to participate in online healthcare related surveys?
		Response Percent	Response Count
Yes		79.3%	69
No		20.7%	18
Other (please specify)			2
	answered question		87
	skipped question		5

48. Do you want to participate in other WhatDoctorsThink.com surveys in the future?
		Response Percent	Response Count
Yes		81.6%	71
No		18.4%	16
Other (please specify)			4
	answered question		87
	skipped question		5