Steven J. Dell, MD discusses how managing cataract surgery in post-refractive surgery patients presents unique challenges including accurate IOL power calculation, epithelial healing variability, and the need for specialized approaches such as piggyback IOLs and careful lens selection to meet high patient expectations for spectacle independence.
EP. 1: Addressing Challenges With Postlaser Vision Correction
May 27th 2025A panelist discusses how ophthalmologists face challenges with Generation X patients who desire spectacle independence after laser vision correction, highlighting the difficulties in intraocular lens calculations and epithelial irregularities following previous refractive surgeries.
EP. 2: IOL Selection for a Patient Seeking Spectacle Independence After Prior Radial Keratotomy
May 27th 2025A panelist discusses how he successfully treated a complex case of a 72-year-old patient with previous radial keratotomy by using an innovative combination of an Apthera lens in the bag and a light adjustable lens in the sulcus as a primary piggyback.
EP. 3: Full Range of Vision IOLs for Patients Wanting Spectacle Independence
May 27th 2025A panelist discusses how he managed a 57-year-old tennis player with dry eye and Hashimoto thyroiditis by selecting a Toric enVista IOL for her refractive lens exchange, noting the patient’s satisfaction despite a temporary market recall of the lens.