Some patients are unhappy even with Snellen visual acuity of 20/20 or better. While it may sometimes be tempting to dismiss these patients as unreasonable or “crazy,” understanding what makes these patients dissatisfied even with good Snellen visual is important for their proper management, says Daniel H. Chang, MD.
Because a variety of vision-limiting macular pathologies are detectable only with OCT, this imaging should be performed in all patients undergoing cataract surgery.
Patient selection is the key factor in obtaining the best visual outcomes after cataract surgery and intraocular lens implantation.
Scleral tunnel, “glued” fixation technique works better than alternative fixation techniques in cases where intraocular lenses (IOLs) cannot be placed in capsular bag or in the sulcus, according to Sumit Garg, MD.
A new small-aperture intraocular lens (IOL) extends patients’ depth of focus as well as multifocal IOLs with fewer dysphotopsias, researchers say.
Researchers conducted a 6-month study of patients implanted with the AcrySof IQ PanOptix presbyopia-correcting IOL to determine the binocular defocus curve of the lens. They concluded that these early results show good visual performance across the whole range of defocus. No unexpected adverse events were reported
In the past year, Matossian Eye Associates added a new category of presbyopia-correcting IOLs to the practice: the extended depth of focus (EDOF) IOL. The first IOL in this category is the Tecnis Symfony (Johnson & Johnson Vision). EDOF lenses from other manufacturers are in clinical trials, so it behooves the cataract surgeon to better understand how these lenses work.
When dealing with patients with retinal disease, macular disease, or a meaningful risk of retinal detachment, certain types of IOLs should be avoided due to potential complications.