By Jared R. Younger, MD, MPH
Refractive cataract surgeons work hard to get "20/happy" patients, and satisfied patients spread the word about a great practice and refer their friends. They don't need extra post-op visits, and can return yearly or go back to see their referring doctor.
This is the case in the majority of patients with the help of accurate biometry, topography measurements, and the variety of available intraocular lens (IOL) technologies. However, how do surgeons minimize those patients who may not be happy with the results of their lens surgery?
Selecting the best presbyopia-correcting IOL for a patient is critical and depends on methodical, preoperative decision-making.
For motivated presbyopic patients who desire minimal dependence on glasses, it is necessary to decide between a multifocal IOL or an extended depth of focus (EDOF) IOL, and determine which one is appropriate. The key to establishing the best candidates for each IOL lies in the pre-operative testing and planning.