Eye Doctors Increasingly Use Lasers for Cataract Surgery Despite Lack of Proven Superiority Over Traditional Methods
Eye doctors in the U.S. are increasingly opting for laser-assisted cataract surgeries, even though studies, including those from the American Academy of Ophthalmology, indicate no significant benefits in terms of outcomes or complication rates compared to traditional scalpel methods. This trend is partly driven by financial incentives, as Medicare has reduced its payments for standard cataract procedures over the past decade. While Medicare pays approximately $520 for a standard surgery, doctors can bill patients an additional $1,000 to $3,000 per eye for laser use, particularly when it involves inserting premium lenses or correcting astigmatism, which are not fully covered by traditional Medicare. The equipment for laser surgery can cost practices up to $500,000, creating a strong motivation to utilize it to recoup investments and generate additional revenue. Nearly 12% of the 5 million annual cataract surgeries nationally are now laser-assisted, a number that continues to grow.