6. Be conservative
I like to be conservative in my recommendations, and I always promise less than what I think I can deliver.
For example, when talking about distance vision, I tell refractive cataract patients that we are aiming for vision that is 20/40 or better, so it will be good enough to pass their driving test without glasses.
That sets the expectation that they might not get a 20/20 result. I also show them a near-vision card with different font sizes and explain that with any technology we use, they will probably still need +1 readers to see really small print (≤ 10pt font).
Most of my patients can read the fine print. However, I strongly believe that the secret to a happy patient is to set reasonable expectations—and then exceed them. I also choose patients with real cataracts. Any slight dysphotopsia they might get from a presbyopia-correcting IOL is likely to be less than what they are already experiencing from the cataract itself.
Typically, when I show pictures of the different dysphotopsias that are possible, patients will acknowledge they already have those.