3. Do some doctoring
I believe the workup for every refractive cataract patient should include topography and OCT in addition to good biometry. These devices and the information they provide about the patient’s ocular anatomy dictate what options I can offer.
For example, in order to offer patients presbyopia correction, I want to see reliable astigmatism, axial length measurements, and a normal macula. In an eye with high or irregular astigmatism or an epiretinal membrane, my choices may be much more constrained. I need to know these details before any discussion with the patient about his options.