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    Role of dysfunctional lens in refractive lens exchange

    Due to the global aging population, a clinical staging of the aging lens symptoms will help clinicians decide on the appropriate treatment for each patient, according to George O. Waring IV, MD, FACS.

    “We know we have a fabulous opportunity to help these patients, with over 2 billion people becoming presbyopic by year 2020,” said Dr. Waring, founder and medical direcor, Waring Vision Institute, Mt. Pleasant, South Carolina. “We predict that we will have an emerging sub-subspecialty of surgical correction of presbyopia because of the number of methods we have available.”

    Despite the wealth of procedures available, what accompanies this recognition of a booming market is the decision-making process regarding the choice of an appropriate procedure for individual patients, he pointed out.

    For corneal and lens refractive surgery, Dr. Waring has proposed an algorithym for the treatment of presbyopia based on a number of factors, including (but not limited to)—the patient's age, refractive error, lens opacity, dysfunctional lens status, topography, dry eye status, and their subjective complaints.

    In their practice, the patients follow an intake track depending on the individual patient characteristics, which streamlines the process and diagnostic evaluation. This can range from aging changes to visually relevant cataract, he explained.

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