As with all studies depending on self-reported treatments and outcomes rather than on actual observed treatments and outcomes, we were concerned with the possibilities of reporting bias and recall bias. However, the ophthalmologists in our study reported data consistent with published clinical studies. For example, our respondents reported that 87% of patients achieved UCVA of 20/40 or better with the toric IOL, which was within the range of 68% to 94% reported in other studies using different types of toric IOLs in patients with cataract and astigmatism (preoperative astigmatism, when reported, ranged from 2.5 D to 3.5 D).6,7,17,20,21 Similarly, our respondents reported that 67% and 53% of patients who received toric and conventional IOLs, respectively, would indicate no need for glasses, whereas others have reported 60% and 38% of patients, respectively.17 Other clinical outcomes reported by our respondents, including postcataract residual refractive cylinder with conventional IOLs and proportion of patients achieving good vision (ie, UCVA of 20/25 or better) after laser vision correction, were also similar to outcomes reported in published studies (data on file). However, some patient outcomes with toric IOLs reported by the ophthalmologists in our survey did differ from those reported in the literature. These differences could be attributed to various clinical settings and data collection methods (well-controlled experimental environments compared with real-world practice settings). Also, rotation stability varies across different types of toric IOLs, which may affect the correction of astigmatism, and ophthalmologists' experience with different types of toric IOLs may have resulted in the differences between the physician-perceived efficacy rates in our survey and those obtained in clinical studies. These factors were assessed during the sensitivity analyses.