Archive August 2018 XIX, No. 8

2018 Cataract Survey: What's Hot and What's Not

Readers weigh in on new eye surgery technology, new drugs, new procedures and more.

Outpatient Surgery Editors



Eye surgery patients deserve the very best visual outcomes, safety and convenience possible, and the managers of eye surgery facilities are set to purchase the products and services that can make that happen. But there's one caveat: The economics have to make sense.

"Cataract reimbursements are going down, but the costs continue to go up," says a South Carolina ASC administrator.

Our readers are interested in new ideas, but they'll only adopt technology that helps their patients and helps them preserve profits. That's the take from this year's survey on new technology for cataract and other anterior segment procedures. Here's what the 279 facility leaders who responded had to say.

Laser cataract surgery

Once the hottest trend in cataract surgery, laser cataract surgery might be losing some steam. The percentage of facilities offering this service declined from 51% last year to 41% this year. Several facilities that dropped it cited cost, speed, space and tepid surgeon commitment.

"We tried it when it was first implemented, but it was short-lived," says Annquinetta Dansby-Kell, RN, CRNO, clinical coordinator at the Eye Center of the Outpatient Care Center in Birmingham, Ala. "Most surgeons were not interested. It prolonged overall OR time and many felt that they performed a reasonable manual capsulorhexis without the laser."

"We tried it for a year, but it was not a cost-effective option for our patient population and our ASC was not big enough for the process to be efficient," says Laura Picano-Wilson, RN, clinical director of the Livonia (Mich.) Outpatient Surgery Center.

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