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    How to manage patient’s IOL expectations pre-operatively


    Dr. Braga-Mele’s approach

    The IOL options Dr. Braga-Mele covers with her patients are the use of a standard IOL; aspheric approaches, which includes discussion of toric IOLs, relaxing limbal incisions; and astigmatic keratotomy, and premium lenses based on lifestyle that might result in less spectacle dependence.

    Regarding the last, she emphasizes the higher costs and the possible need for extra testing. These choices include toric IOLs, multifocal IOLs, or those with a toric component for near-vision needs (ReSTOR family of +3.0 D and +2.5 D IOLs [Alcon Laboratories] and Tecnis +2.75 D, +3.25D, and +4.0 D IOL [Johnson & Johnson Vision]), EDOF IOL (Tecnis Symfony IOL, Johnson & Johnson Vision) with or without a toric component to provide intermediate vision, and trifocal IOLs (PanOptix IOL, Alcon Laboratories, and FineVision IOL, Bausch + Lomb) to provide a range of vision.

    Dr. Braga-Mele also pointed out that if patients have been using monovision preoperatively, then monovision is a must postoperatively.


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