Fair enough, good point - I guess the transistor (inside the optocoupler) cannot pass through all those 11mA of current so it will be less.
But anyways - nobody has answered my 2 questions yet
Doing some research myself, I found that the most important is that the rise time and fall time works with the MIDI speed (the MIDI spec says 2us max). I believe this is influenced by the CTR and rise/fall time of the optocoupler, as well as the output resistor.
I also found out that if the CTR is too low, one can add an extra NPN on the output to boost/speed up the signal? Something like the attached circuit. Any thoughts?