A recent survey of ophthalmologists sheds light on how experience and regional training influence surgical decisions during cataract procedures complicated by capsular bag compromise.
The study, based on responses from 24 ophthalmologists—most practicing in the Washington, D.C. area—analyzed preferred intraocular lens (IOL) placement techniques, along with how surgeons continue learning advanced skills after formal training. Half of the respondents had more than 21 years of experience, and a quarter performed over 250 cataract surgeries annually.
Among seasoned surgeons, sulcus placement was the favored IOL technique, especially during cases involving capsular support loss. Those with <10 years in practice more often opted for the Yamane technique for sutureless scleral fixation, a skill typically acquired after residency. Meanwhile, those with >3 decades of experience tended to rely on scleral-sutured methods and primarily updated their knowledge through peer-reviewed publications.
The findings highlight that surgical preferences are influenced by years in practice and that newer surgeons often adopt innovative techniques earlier in their careers.
Reference
Shaikh TF, et al. Complex Cataract and Intraocular Lens Practice Patterns: A Survey Among Local Ophthalmologists. Presented at: American Society of Cataract and Refractive Surgery Annual Meeting; April 25–28, 2025; Los Angeles, CA.
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