Customizing IOL education, selection
We try to provide a thorough educational experience when patients come in for a cataract evaluation. Their time starts with specific questions that help the surgeon figure out how to customize IOL options to patients’ needs:
· How tall are you?
· What reading needs do you have?
· What do you typically do from 8 a.m. to 5 p.m.?
· What hobbies do you have?
· How much night time driving do you do?
Patients are surprised by these questions. When I explain why I am asking, patients appreciate that I am taking the time to learn about their visual needs.
Their answers allow me to customize a solution to what patients really want from their vision after surgery. I am implanting fewer multifocal IOLs and toric monofocals because most patients who want a refractive correction are best served by an EDOF lens.
There is some impact from the pricing approach. Business executives refer to this as the “goldilocks effect,” in which consumers are likely to avoid the “extremes” and feel that the middle price (the distance/computer package, in our case) is the one that is “just right” for them.
It is also encouraging to know that if there is any dissatisfaction after implanting an EDOF lens in one eye, we can choose a monofocal or multifocal for the fellow eye.
It is exciting that the industry is getting closer to having presbyopia-correction options that truly meet patients’ need for a full range of uncorrected vision. The EDOF lenses have fewer of the night vision symptoms that were sometimes problematic with earlier multifocal IOLs.
1. Yeu E, Wang L, Koch DD. The effect of corneal wavefront aberrations on corneal pseudoaccommodation. Am J Ophthalmol 2012;153(5):972-81.