Objective:

To emphasize the importance of ocular surface optimization as a critical first step in refractive cataract surgery, directly linking it to enhanced patient satisfaction and improved surgical outcomes.

Key Findings:

• Dry eye disease (DED) significantly affects IOL power accuracy, impacting surgical outcomes, with a noted increase in postoperative complications.
• About 80% of patients undergoing cataract surgery have abnormal tear tests, indicating a widespread issue that needs addressing.
• Optometrists play a crucial role in identifying and managing OSD before surgery, which can lead to better surgical outcomes.

Interpretation:

Optimizing the ocular surface is essential for achieving accurate preoperative measurements, which directly influences the success of cataract surgery outcomes.

Limitations:

• OSD is often underdiagnosed, leading to missed opportunities for optimization, particularly in asymptomatic patients.
• Geographical factors may affect the prevalence of dry eye symptoms, complicating diagnosis and treatment.

Conclusion:

A proactive approach to ocular surface optimization not only improves individual patient outcomes but also strengthens the comanagement relationship between optometrists and surgeons, ensuring a higher standard of care.