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EW SHOW DAILY 58 Meeting Reporter Tuesday, May 9, 2017 ship and Clinical Committees for review. At that point, they will deter- mine if there are needs that should be addressed in future educational offerings. If educational needs are identi- fied, they will be used to influence future ASCRS programming. The goal is for future programming to help address the ever-evolving edu- cational needs of ASCRS members. This will be an exciting way to pro- vide regular data and to track how specific education initiatives have changed opinions, understanding, and behavior. An EyeWorld supplement will be published this fall with a summary of the key findings from the survey. In addition, many future presen- tations and publications will be developed based on the survey data and identified education needs in the coming year. All current and his- torical survey data can be accessed at www.globaltrendsinophthalmology. com. ASCRS looks forward to rolling out multi-tactic, large-scale educa- tion programs to address the educa- tional needs identified in the survey. These programs will involve sympo- sia, publications, regional meetings, and Internet-based education to help physicians learn and commu- nicate with each other about some of the key clinical and technology topics they face today. EW will answer 60 to 70 questions on a variety of topics. Physicians can go to ascrs2017.questionpro.com before May 31 to take the survey at their convenience. They can also scan the QR code with this article to be directed to the survey website on a smartphone or tablet before May 31. All ASCRS members who com- plete the 2017 survey online will be registered to win one of three prizes: • Grand prize: A VIP package that includes a complimentary hotel suite in Washington, D.C. for the 2018 ASCRS•ASOA Annual Sym- posium & Congress • Second and third place prizes: An unlocked Apple iPhone 7+ Winners will be drawn on May 31, 2017 from all online entries and will be notified by mail. By complet- ing the survey, respondents will be providing important data to help influence future education. Using the ASCRS Clinical Survey to drive education This survey data will be analyzed and presented to the ASCRS leader- interpreted by the ASCRS Clinical Committees. Data from the 2016 survey has been used to develop content for many of the symposia at this ASCRS•ASOA Symposium & Con- gress. Information from the 2017 survey will be used to continue to develop these programs and discover new areas for education. The 2017 ASCRS Clinical Survey will include a wide range of contem- porary topics, including: • Cataract Surgery • Astigmatism Management • Presbyopia Correction • Laser-Assisted Cataract Surgery • Ocular Surface • Cornea Inflammation • Infection • Corneal Refractive Surgery • Glaucoma • Retina • Young Physicians How to participate ASCRS member ophthalmologists can complete this survey in 15 minutes online. Survey participants Online survey participants will be entered into a raffle for several prizes and will receive a summary report before it is published T he 2017 ASCRS•ASOA Sym- posium & Congress in Los Angeles marks the launch of the 5th annual ASCRS Clinical Survey. The 2017 survey builds on the success of last year's survey, in which more than 1,500 ASCRS member ophthalmolo- gists participated. While many surveys yield important data, the ASCRS Clinical Survey is unique in that it assesses key clinical opinions to identify specific educational efforts aimed at improving the practice of medicine. The survey asks ASCRS members key questions relating to current issues they regularly face. The goal is to obtain opinions from a signifi- cant percentage of the membership and to have the results reviewed and Help drive future education with participation in 5th annual ASCRS Clinical Survey astigmatic error, and although stud- ies have shown patient satisfaction with <0.75 D of residual astigma- tism, Dr. Hovanesian thinks that the cutoff point is 0.5 D. He explained that with toric IOLs, a 1-degree lens rotation resulted in a 3.3% decrease in the toric effect, making a 10-de- gree rotation unacceptable, he said. Residual astigmatism results from poor axis, rotated IOLs, poor IOL placement, wrong lens choice, or ocular surface disease. Enhancements were effective, if done in the right cases. When the sum of the sphere and the cylinder is more than 0.5 D, enhancements should be considered. Enhancement options with toric IOLs with both residual sphere and cylinder include PRK or LASIK. In cases of spherical error, IOL exchange or piggyback lenses are options, while cylindri- cal errors can be corrected through IOL rotation, IOL exchange, and LRI enhancements. PRK and LASIK are most effective for smaller errors while IOL exchanges are better for larger errors, to justify the risk of reoperating. "Don't wait for patients to bring up the topic—find out what's wrong before patients come to you," Dr. Hovanesian said. Presbyopia-correcting toric IOLs raise the bar for delivering a full range of vision, according to Sumit "Sam" Garg, MD, Irvine, Califor- nia, however, errors can result from astigmatism power miscalculations, IOL selection, axis alignment errors, IOL decentration, optic tilt, induced astigmatism, or surface irregularities, he said. Presbyopia adds complex- ity to patient selection and expec- tations. A higher level of surgical precision is needed to achieve excep- tional outcomes. EW Editors' note: This event was supported by educational grants from Johnson & Johnson Vision (Santa Ana, Califor- nia), Alcon (Fort Worth, Texas), Bausch + Lomb (Bridgewater, New Jersey), and Carl Zeiss Meditec (Jena, Germany). Torics continued from page 56

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