Practice Patterns Of Canadian Ophthalmological Society Members In Cataract Surgery – Survey 2025

This was the seventeenth annual survey on the practice patterns of Canadian Ophthalmological Society (COS) members in cataract surgery.

Saskatchewan Health Authority, Regina, Saskatchewan, Canada.

In January 2025, the COS office sent an email with a link to the survey on Red Cap to its 262 members whose primary focus was cataract surgery. Two reminders were sent at 2 weeks interval. The response rate was 13.7%. All responses were collected anonymously.

Most respondents (75%) corrected astigmatism at the time of cataract surgery. Most (94.4%) used a Toric IOL. 55.6% of the respondents aimed for monovision. The majority (35%) aimed for a difference of 0.75D between the two eyes following cataract surgery. Presbyopia correcting lenses were used by 83.3% of the respondents. Intracameral antibiotics was used by 77.1% of the respondents in 2025 while only 23.1% did so in 2009. Immediately Sequential Bilateral Cataract Surgery (ISBCS) was performed by 61.1% of the respondents in 2025 while only 9.8% did so in 2009. Also of note, only 8.7% of the respondents performed ISBCS more than 50% of the time in 2015 while 27.3% did so in 2025.

There was a marked increase in respondents performing ISBCS and using intracameral antibiotics since the beginning of the COVID pandemic. The latter is probably because of the former. The COS leadership had been encouraging its members to perform ISBCS to reduce patient interaction during the pandemic.