Opinion|Videos|December 23, 2025

Key Clinical Takeaways From Case-Based Discussions on Advanced IOL Selection

Explore the complexities of LASIK candidacy, lens options, and managing patient expectations for optimal post-operative satisfaction.

This concluding segment synthesizes the most important lessons attendees gained from reviewing three diverse cataract cases. For case one, the primary takeaway was the importance of anchoring IOL selection to patient identity, lifestyle, and expectations, with the enVista Envy lens emerging as an excellent choice for that individual’s visual needs. Case two highlighted unique considerations in post-refractive surgery patients, particularly the role of higher-order aberrations and how they may influence outcomes with multifocal lenses. The discussion reinforced the light adjustable lens (LAL) as a highly effective option for post-LASIK patients seeking precision and flexibility. Case three revisited patient-centered decision-making, demonstrating that despite a 10–15 year age difference compared with case one, the enVista Envy lens again delivered strong outcomes across a broader patient spectrum with minimal glare and halo complaints. Beyond individual cases, participants valued the open, peer-driven exchange of ideas—an opportunity rarely available in industry-led settings—allowing candid comparison of technologies, shared clinical experiences, and practical strategies for optimizing patient outcomes across a wide range of scenarios.

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