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Cataract Surgery Stephen G. Slade MD, FACS. Financial Disclosure. Alcon, AMO, B&L Consultant, Clarity, NuLens, RVO, Technolas. This presentation represents the speaker’s professional experience. US Cataract Market. 18,900,000 Global Procedures 2010 3,261,000 US Procedures
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Cataract Surgery Stephen G. Slade MD, FACS
Financial Disclosure Alcon, AMO, B&L Consultant, Clarity, NuLens, RVO, Technolas This presentation represents the speaker’s professional experience.
US Cataract Market • 18,900,000 Global Procedures 2010 • 3,261,000 US Procedures • 900 million US Equipment and Packs • 85 million US Presbyopes • 72% with 0.5 D or greater Astigmatism Medicare, Marketscope
US Eye Surgeons • Cataract Only Surgeons 4,990 • Refractive Only 1,350 • Cataract / Refractive Surgeons 2,260 • Total 8,600 Marketscope Surveys
Is Cataract Surgery Effective Enough? Only 6.4% penetration rate Visual Outcomes less than LASIK No safety improvement Surgeon confidence lower 100% 85% 75% 20/40 or better 20/40 and J3 or better 20/20 or better 35% * Adapted from FDA clinical data for Crystalens and Wavelight Trials Wavelight FDA Trial, Myopia Astigmatism. Crystalens AT 45 FDA 20/25 and J1 or better
Medicare vs Private Pay 22% Non Medicare 12% Medicare Managed Care 66% Medicare Source: 2007 Medicare Data
US Surgeries by Ownership Corporate Owned ASC 17.1% Hospital Owned ASC 22.3% Physician Owned ASC 60.6% Source MarketScope
Cataract Surgeons by Volume 600-1199 17.9% 1200-1599 2.6% 200-599 47.2% >1600 1.5% <100 13.3% 100-199 17.5% Source MarketScope
What percentage of your eligible patients elected to receive premium IOLs in the past 3 months?A. 0% to 10%B. 11% to 20%C. 21% to 30%D. Greater than 30% Question #1
What premium lens is your lens of choice for your patients?A. Crystalens 5.0B. Crystalens HDC. Crystalens AOD. Acrysof ReSTOR IOL (+3.0D)E. Tecnis MFF. AcrySof ToricG. OtherH. None, I prefer monofocal IOLs Question #2
What is the most important distance to be on target for in the Premium Channel?A. DistanceB. IntermediateC. Near Question #3
If it was your own eye, which lens would you select?A. AcrySof Toric IOLB. Tecnis Multifocal IOLC. Crystalens 5.0D. Crystalens HDE. Crystalens AOF. AcrySof ReSTOR IOL (+3.0) Question #4