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The Ophthalmologist / Power List / 2025 / Honorees / Cataract & Refractive / Nicole Fram

Nicole Fram

Managing Partner, Advanced Vision Care, Los Angeles, CA; Adjunct Assistant Professor, Moran Eye Center, University of Utah, Salt Lake City, Utah, USA

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About Nicole Fram

What major trends in cataract and refractive surgery are catching your attention right now?

The trends to watch in ophthalmology include cell therapy, robotic assisted cataract surgery, impact of AI formula, accommodating IOLs, and adjustability of IOLs postoperative. These technologies will likely make the biggest impact on our clinical practice and improve patient care.

In what ways do you think AI and machine learning will impact cataract & refractive surgery?

AI has already begun its impact with generative solutions, in-office assistants/scribes, and IOL formulae/testing. The use is not only to improve efficiency, but to also give the surgeon back time. During the course of a day, I use an AI scribe that captures all my real-time visits accurately and generates an immediate note and correspondence. I then use AI formulae to increase my accuracy in Intraocular lens power calculations, and look forward to our diagnostics to be able to analyze imaging quickly for diagnosis that could be easily overlooked.

What advice would you give to your younger self?

The advice I would give my younger self is to have patience and forgive myself more quickly when I fail. It’s through the slower pace and experience that we truly grow and become better versions of ourselves.

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