1. US TRENDS IN REFRACTIVE SURGERY:2002 ISRS SURVEY Richard J. Duffey, MD David Leaming, MD ISRS Meeting Orlando- October 18, 2002

2. DUFFEY 2002 2002 SURVEY ä Aug. mailing to 900 U.S. members of ISRS ä 107 responses analyzed by Sept 28 for 12% of the U.S. ISRS membership* ä Sixth year of refractive data collection allowing an analysis of trends in US ä RK, AK/LRI, PRK, LASIK, LASEK, ICR, LTK, CK, CLE, P-IOL, SE, excimer lasers, microkeratomes, topograp., comanagement, followup exams, pupillometry, custom abl.

3. DUFFEY 2002 > 5 CASES / MONTH

4. DUFFEY 2002 > 25 CASES / MONTH

5. DUFFEY 2002 > 75 CASES / MONTH

6. DUFFEY 2002 PREFERRED SURGERY FOR 30 yo -3.00 DIOPTER MYOPE

7. DUFFEY 2002 PREFERRED SURGERY FOR 30 yo -7.00 DIOPTER MYOPE

8. DUFFEY 2002 PREFERRED SURGERY FOR 30 yo -12.00 DIOPTER MYOPE

9. DUFFEY 2002 PREFERRED SURGERY FOR 45 yo +1.00 D HYPEROPE

10. DUFFEY 2002 PREFERRED SURGERY FOR 45 yo +3.00 D HYPEROPE

11. DUFFEY 2002 PREFERRED SURGERY FOR 45 yo +5.00 D HYPEROPE

12. DUFFEY 2002 SURGERY DONE BILATERAL AT SAME O.R. VISIT

13. DUFFEY 2002 Procedure Future Index (Doing Now and/or Plan in Future)

14. DUFFEY 2002 Preferred Surgery for Presbyopia

15. DUFFEY 2002 HAD REFRACTIVE SURGERY PERFORMED ON YOURSELF

16. DUFFEY 2002 TOPOGRAPHY UNIT MOST COMMONLY USED

17. DUFFEY 2002 EXCIMER LASER MOST COMMONLY USED

18. DUFFEY 2002 MICROKERATOME MOST COMMONLY USED

19. DUFFEY 2002 Value of Custom Ablation

20. DUFFEY 2002 Wavefront Analyzer

21. DUFFEY 2002 Pupil Guage Instrument Use

22. DUFFEY 2002 LASIK Post-Op Antibiotic

23. DUFFEY 2002 Asymptomatic High Myope Pre-op Retinal Referral: Y/N

24. DUFFEY 2002 Comanagement

25. DUFFEY 2002 Comanage with Whom

26. DUFFEY 2002 ’02 ISRS SURVEY CONCLUSIONS ä LASIK dominates between -12D and +3D ä Bilateral same O.R. visit LASIK ä LASIK, LASEK, CLE, P-IOL, PRK, CK all with apparent bright futures ä RK, ICR, LTK dead or dying ä VisX at 2:1 over all other lasers ä Wavefront, custom ablations still in future ä Pupillometry 2:1 Instrument versus Card

27. Thanks to the ISRS leadership for their support and for your participation in the 2002 Survey We look forward to your response to the 2003 survey next fall Results at www.isrs.org