9. Up your game
Is refractive cataract surgery harder for the surgeon? Of course it is.
If you want to implant presbyopia-correcting IOLs successfully, you have to step up your game. You need to have advanced diagnostic technology and be proactive about correcting astigmatism.
I think you need to be within 0.5 D of your target 80-90% of the time—which means you have to routinely track your outcomes to even know if you are hitting this goal.
But for surgeons who put in this level of effort, it opens up a whole new world of cataract surgery that, at least in my experience, is much more satisfying for both surgeon and patient.
Dr. Shah is medical director of Ochsner Baptist LASER Vision Center in New Orleans, LA. Contact him at [email protected].