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    Patient expectations high as level of surgery advances

    Samuel Masket, MD, challenges young U.S. physicians to further the state of anterior segment eye surgery


    Once we determine the normalcy of the eye, I consider what lenses might best fit that patient’s lifestyle.

    To determine IOL power, we employ both the Lenstar (Haag-Streit) and the IOLMaster (Carl Zeiss Meditec) and run five programs on each in order to match axial length, chamber depth, and other parameters to determine what would be the best or closest power to match our optical goal.

    We explain to the patient that while we try to match the closest power for the optical goal of surgery, unfortunately, there are certain assumptions in the formulae that cannot be avoided. I include intraoperative aberrometry in virtually all patients, and I change a significant number of IOLs based upon intraoperative aberrometry, despite preoperative calculations. 

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