Abstract：
OBJECTIVE: To evaluate changes in cataract and refractive surgery practice patterns among members of the Japanese Society of Cataract and Refractive Surgery (JSCRS) over the past 20 years.
METHODS: Questionnaire survey study.
METHODS: Clinical surveys were conducted annually between February and April from 2004 to 2023. Survey questions covered various areas, including cataract surgical techniques, anesthesia, endophthalmitis prophylaxis, toric and presbyopia-correcting intraocular lenses (IOLs), complications, and refractive surgery.
RESULTS: The highest (n=554 [36.8%]) and lowest (n=316 [19.1%]) numbers of responses were collected in 2012 and 2016, respectively. In perioperative management, the intraoperative use of polyvinyl alcohol-iodine solution and topical antibiotic prescription 3 days before surgery has increased. The use of intracameral injection at the end of surgery has also significantly increased, although it has not been established as common practice. In anesthesia, there is a clear polarization between the use of topical drops and tenon injection. The use of toric IOLs and presbyopia-correcting IOLs has significantly increased from 2010 to 2023. In the latter, the use of trifocal IOLs has particularly increased. Regarding IOL power calculations, the Barrett True K and the Barrett Universal II formulas are rapidly gaining popularity for application with and without post-laser vision correction, respectively. In refractive surgery, phakic IOLs and corneal refractive therapy have attracted considerable interest, followed by laser in situ keratomileusis.
CONCLUSIONS: Evaluation of annual clinical survey data over the past two decades provided valuable insights into the shifting practice patterns and clinical opinions among JSCRS members.
METHODS: Questionnaire survey study.
METHODS: Clinical surveys were conducted annually between February and April from 2004 to 2023. Survey questions covered various areas, including cataract surgical techniques, anesthesia, endophthalmitis prophylaxis, toric and presbyopia-correcting intraocular lenses (IOLs), complications, and refractive surgery.
RESULTS: The highest (n=554 [36.8%]) and lowest (n=316 [19.1%]) numbers of responses were collected in 2012 and 2016, respectively. In perioperative management, the intraoperative use of polyvinyl alcohol-iodine solution and topical antibiotic prescription 3 days before surgery has increased. The use of intracameral injection at the end of surgery has also significantly increased, although it has not been established as common practice. In anesthesia, there is a clear polarization between the use of topical drops and tenon injection. The use of toric IOLs and presbyopia-correcting IOLs has significantly increased from 2010 to 2023. In the latter, the use of trifocal IOLs has particularly increased. Regarding IOL power calculations, the Barrett True K and the Barrett Universal II formulas are rapidly gaining popularity for application with and without post-laser vision correction, respectively. In refractive surgery, phakic IOLs and corneal refractive therapy have attracted considerable interest, followed by laser in situ keratomileusis.
CONCLUSIONS: Evaluation of annual clinical survey data over the past two decades provided valuable insights into the shifting practice patterns and clinical opinions among JSCRS members.
摘要：
目的：评估日本白内障和屈光手术学会（JSCRS）成员在过去20年中白内障和屈光手术实践模式的变化。
方法：问卷调查研究。
方法：临床调查在2004年至2023年2月至4月间进行。调查问题涉及各个领域，包括白内障手术技术，麻醉,眼内炎预防，复曲面和老花眼矫正人工晶状体（IOL），并发症,屈光手术。
结果：2012年和2016年分别收集了最高（n=554[36.8%]）和最低（n=316[19.1%]）的响应数。在围手术期管理中，术前3天术中使用聚乙烯醇碘溶液和外用抗生素处方增加.手术结束前房内注射的使用也显著增加,虽然它还没有被确立为惯例。在麻醉中，使用局部滴剂和tenon注射之间存在明显的两极分化。从2010年到2023年，复曲面IOL和老花眼矫正IOL的使用显着增加。在后者中,三焦点IOL的使用尤其增加。关于IOL功率计算，BarrettTrueK和BarrettUniversalII公式在有和没有激光后视力矫正的应用中迅速普及，分别。在屈光手术中，有晶状体IOL和角膜屈光治疗引起了相当大的兴趣，其次是激光原位角膜磨镶术。
结论：对过去二十年的年度临床调查数据的评估为JSCRS成员之间不断变化的实践模式和临床观点提供了有价值的见解。
方法：问卷调查研究。
方法：临床调查在2004年至2023年2月至4月间进行。调查问题涉及各个领域，包括白内障手术技术，麻醉,眼内炎预防，复曲面和老花眼矫正人工晶状体（IOL），并发症,屈光手术。
结果：2012年和2016年分别收集了最高（n=554[36.8%]）和最低（n=316[19.1%]）的响应数。在围手术期管理中，术前3天术中使用聚乙烯醇碘溶液和外用抗生素处方增加.手术结束前房内注射的使用也显著增加,虽然它还没有被确立为惯例。在麻醉中，使用局部滴剂和tenon注射之间存在明显的两极分化。从2010年到2023年，复曲面IOL和老花眼矫正IOL的使用显着增加。在后者中,三焦点IOL的使用尤其增加。关于IOL功率计算，BarrettTrueK和BarrettUniversalII公式在有和没有激光后视力矫正的应用中迅速普及，分别。在屈光手术中，有晶状体IOL和角膜屈光治疗引起了相当大的兴趣，其次是激光原位角膜磨镶术。
结论：对过去二十年的年度临床调查数据的评估为JSCRS成员之间不断变化的实践模式和临床观点提供了有价值的见解。
