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In a well-matched sample group, patients with higher levels of postoperative astigmatism reported a greater improvement in quality of life and a greater rate of willingness to have the procedure again if they received an Extended Depth of Focus IOL compared to patients receiving a low-add, multifocal IOL, despite similar postoperative clinical and patient reported performance.

Favorable outcomes have been achieved after the first clinical use of IOL technology that is designed to maintain an open capsule long-term after cataract surgery and enable refractive fine-tuning postoperatively.

Small-incision lenticule extraction monovision could be a valid option to manage presbyopia in patients with myopia, said Sheetal Brar, MD.

A modified correcting applanation tonometry surface (CATS) prism reduces measurement errors due to corneal biomechanical parameters and improves the accuracy of IOP measurements compared with a standard Goldmann applanation tonometer (GAT) prism.

In eyes with keratoconus undergoing CXL, topography-guided photorefractive keratectomy (TG-PRK) provides superior refractive and functional outcomes compared with transepithelial phototherapeutic keratectomy (TE-PTK). Yet, there remains a role for PTK, said Simon P. Holland, MD.

Ophthalmologists know from large studies that the major driving factor for patient satisfaction is having a good postoperative refractive outcome. "That is especially so for patients receiving multifocal IOLs, toric lenses, or having clear lens exchange," said Oliver Findl, MD, MBA.

Instead of thinking about getting patients to see 20/20 uncorrected vision and out of the inconvenience of glasses or contact lenses, perhaps in the future we will be talking about getting them all to see 20/10 uncorrected and better than they could before with correction, said Daniel S. Durrie, MD. .

Results of the EAGLE study support clear-lens extraction as initial intervention for eyes with primary angle-closure glaucoma (PACG) or primary-angle closure (PAC) and high IOP, said David S. Friedman, MD, PhD, at the 2018 ASCRS Glaucoma Day.

Small pupils usually travel in clusters with other surgical challenges. Kendall E. Donaldson, MD, MS, explains how surgeons may better manage small pupils during phacoemulsification by employing all tools and techniques available to them.