July 2019
Volume 60, Issue 9
Open Access
ARVO Annual Meeting Abstract  |   July 2019
Factors Influencing the Adoption of a New Disruptive Surgical Technology by Vitreoretinal Surgeons
Author Affiliations & Notes
  • Naryan Singh Sabherwal
    Illinois Retina Associates, Chicago, Illinois, United States
    Ophthalmology, Rush University Medical Center, Chicago, Illinois, United States
  • Kourous A Rezaei
    Illinois Retina Associates, Chicago, Illinois, United States
    Ophthalmology, Rush University Medical Center, Chicago, Illinois, United States
  • Footnotes
    Commercial Relationships   Naryan Sabherwal, None; Kourous Rezaei, Alcon (C), BMC (C), Ophthotech (E)
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science July 2019, Vol.60, 6423. doi:
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      Naryan Singh Sabherwal, Kourous A Rezaei; Factors Influencing the Adoption of a New Disruptive Surgical Technology by Vitreoretinal Surgeons. Invest. Ophthalmol. Vis. Sci. 2019;60(9):6423.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : Digitally assisted visualization for vitrectomy surgery is a new disruptive technology in the field of vitreoretinal surgery. The purpose of this study was to identify factors that may impact the adoption of this new technology by retina surgeons.

Methods : A data base of a major publisher in the field of retina was used as a pool of retina specialists who would potentially participate in the survey. A detailed list of multiple choice questions with relevant information was drafted and used as a Google Form survey. This survey was emailed to the pool of retina specialists around the world.

Results : One hundred and sixty seven retina specialists responded to the survey. For data analysis the respondent were divided into two groups: Those who are planning to or already have adopted the digitally assisted visualization system (the adopters, n=56) vs those who are not planning to adopt the new system (the non-adopters, n=111).
The adopters tended to be longer in practice (>15 years) 55% vs 39% for non-adopters. More adopters were involved in training fellows (68%) vs 44% for non-adopters. 64% of the adopters consider themselves as “embracers of change” vs 42% of the non-adopters. In the group of adopters, 25% consider themselves as innovators vs only 8% in the non-adopters. Only 20% of the adopters have never tried the new system vs 50% in the non-adopter group. 77% of the adopters were knowledgeable of 3 or more advantages of the system vs 59% of the non-adopters. Both groups indicated that the three main advantages of this new system are extended depth of field, ocular free ergonomics, and view of the surgical field in the operating room. Both groups identified cost and learning curve as disadvantages of this new system.
Interestingly surgeon’s gender, retina practice setting, and number of the attended retina meetings did not seem to have a major influence on becoming an adopter or non- adopter of this new technology.

Conclusions : Training fellows, being more of an enthusiast for change and having an innovative mindset are few of the characteristics that may influence retina specialists to embrace the adoption of the digitally assisted visualization system. Lack of exposure, financial cost and concerns regarding the learning curve may slow down the adoption of this new disruptive surgical technology. A more comprehensive data analysis is currently under way.

This abstract was presented at the 2019 ARVO Annual Meeting, held in Vancouver, Canada, April 28 - May 2, 2019.

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