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    Optimizing individual outcomes through staged cataract surgery

    Case studies illustrate inside-out and outside-in techniques in move toward emmetropia


    Patient/surgeon team

    In my more than 20 years of experience with this designed, staged concept, I have seen patients’ enthusiasm as I explain my plan to bring them to an optimal level of vision. The patients become my team member, and they express their excitement as we go from one stage to the next.

    Challenging cataract surgeries approached in a staged fashion can be used not only to design vision, but also to optically manipulate the interior of the eye to present stage 2 as the final refractive surgical component.

    Go to part four of the series.


    • Gulani AC. Femtosecond Laser in Refractive Lens Exchange: Surgical Treatment for Presbyopia. Wang M, ed.; Slack Inc., Thorofare, NJ); 2016;109-115.

    • Gulani AC. Corneoplastique: Art of LASIK & cataract surgery. Ind J Ophthalmol. 2014;62:3-11.

    • Gulani AC. Evaluating the impact of femto laser-assisted capsulotomy. Cataract Refract Surg Today Europe. 2014;9:36-50.

    • Gulani AC. Shaping the future and reshaping the past: the art of vision surgery. Chapter 98. In: Copeland and Afshari’s Principles and Practice of Cornea. New Delhi, India: Jaypee Brothers Medical Publishers, 2013;2:1252-73.

    • Donnenfeld E, Gulani AC. Astigmatism correction during cataract surgery. In: Garg H, Alió JL, eds. Femtosecond Laser: Techniques and Technology. 1st ed. Miami; JayPee Highlights Medical Publishers; 2012;21:155-161.

    • Gulani, AC. Vision à la carte: Designing vision. Ophthalmology Times. 2013;38:31-33.

    • Gulani AC.  Corneoplastique. Techniques in Ophthalmology. 2007;5:11-20.


    Arun C. Gulani, MD, is founding director and chief surgeon of the Gulani Vision Institute, Jacksonville, FL. Dr. Gulani has no financial interests to declare.

    Arun C. Gulani, MD
    Dr. Gulani is director of refractive surgery and chief, cornea & external disease, as well as assistant professor, department of ...

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