Eyeworld

DEC 2020

EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.

Issue link: https://digital.eyeworld.org/i/1312630

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DECEMBER 2020 | EYEWORLD | 123 P Relevant disclosures Osher: None Parker: None that he or she may need a thin pair of glasses after surgery. It's better to under promise and over deliver," he said. "I will finish by saying something reassuring … always try to end on a high note," he said, such as, "I'm confident that you will be seeing much better after your surgery." "I always try to show each patient that I sin- cerely care and that I plan on doing my best," Dr. Osher added. Unhappy patient Even if the surgery went perfectly and the outcome, by quantifiable measurements, was a success, patients can still be unhappy with the result. Dr. Osher reiterated the importance of giv- ing the patient time, reassurance, and an honest explanation. He likes to compare unaided vision in the operated eye to the other; if that isn't impressive enough, he shows the patient the preoperative and postoperative lines on the Snellen vision chart for their comparison. Dr. Parker said. First, Dr. Parker said the chapter described talking about how IOLs come in steps, similar to shoe sizes. The problem is the exact size of your eye might not be the exact size of the lens, so you have to choose the closest size, up or down. "That inevitably leaves some refractive error in everyone," Dr. Parker said. Ophthalmologists should also explain that the shape and curvature of the eye can influence the IOL decision, and errors in measurements can result in a refractive surprise. In this situation, give the patient hope. These errors are usually rectified by a simple additional surgery, Dr. Parker said. Dr. Osher discussed this situation in his interview with EyeWorld. He explains to the pa- tient that IOLs "are made in steps, for example, +21, +22, and +23. You may need a +22.6 for perfect vision, which isn't made. Therefore, we err up or down to the nearest available lens, which may leave a touch of nearsightedness, farsightedness, or astigmatism," he said. In addition, Dr. Osher explains to patients that everyone heals differently and how this can influence the outcome. "I always tell the patient continued on page 124 Contact Osher: RHOsher@cvphealth.com Parker: jack.parker@gmail.com

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