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Business & Profession Cataract, Refractive, Business and Innovation

Focused on the Future

When faced with a patient who is unhappy with their refractive outcome, we follow a specific diagnostic and treatment algorithm.  First, we evaluate for residual refractive error.  Next, we need to ensure that the ocular surface is optimized, as light scatter can often be a contributing factor to refractive outcomes. We also evaluate for posterior capsule opacification (PCO); as early PCO can result in light scatter, which may impact visual quality. A small residual refractive error will likely be corrected through a laser vision enhancement on the cornea. For a larger hyperopic refractive error, a piggyback IOL may be considered. If it is a rare large refractive error or other indication, such as intolerable dysphotopsias, an IOL exchange may be indicated.  However, adjustable lens technologies may represent a future paradigm in cataract and refractive surgery, and the algorithm for managing the unhappy patient will evolve – as will our approach to surgery.

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About the Author

George O. Waring IV

George O. Waring IV is Founder and Medical Director of The Waring Vision Institute in Mount Pleasant, SC, USA.

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