EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.
Issue link: https://digital.eyeworld.org/i/1400530
44 | EYEWORLD | SEPTEMBER 2021 ATARACT C think they have a lot of potential for patients to be happy with less risk of glare, halo, and star- bursts and more spectacle independence than our monofocal lenses," he said. Dr. Rao said he has tried using models/ simulations and videos in the past to explain op- tions to patients, but it was often time consum- ing and he didn't find it particularly helpful. He finds a customized, face-to-face discus- sion with each patient more effective. With the video program he was using, there were a lot of videos to choose from. He found this hard for the patient as well as the doctor/staff who had to choose which videos to recommend. In addition, with the number of lens options and packages, he doesn't want the patient to feel like it's a sales pitch. "I tell the patient that my goal is to help them choose the lens that best suits their needs. It doesn't matter what their friend or family member got," he said. "What matters is what they want, and we can tailor their vision to what they want these days. There are pluses and minuses to each lens. I think pa- tients will be happiest if they know what they're getting into." stoplights. "Many patients get used to it and will become less bothered over time, but there are some patients who are very bothered by those distortions, so I want them to understand that if it's not something they're willing to accept, it might not be the best choice." Dr. Rao said he has a number of patients who come in very educated, having done research on the different IOL options and the potential side effects on their own. For many who come in asking about specific IOLs, Dr. Rao said he has to explain why they might not be the best candidate for certain technologies. Dr. Rao noted that he also sees a significant number of patients referred for IOL exchange for dysphotopsias after multifocal lenses, so he is careful to discuss these potential dysphotop- sias with his own cataract surgery patients. "I want them to make a completely informed deci- sion about whether a multifocal IOL is the right choice for them, so there are no surprises." He mentioned newer lens options, like Vivity and Eyhance (Johnson & Johnson Vision). For patients who want good distance vision and want to achieve some mid-range spectacle independence, he recommends Vivity because it does not seem to result in significant glare or halos. "I'm excited about these new lenses and continued from page 42 In partnership with leading academic institutions ASCRS Grand Rounds is a virtual, complimentary CME offering exclusive to ASCRS membership that brings the experience of a live grand rounds to your home or office. ASCRS has partnered with major academic institutions to present a monthly series of vir tual grand rounds, each approved for 1.0 AMA PRA Category 1 Creditâ„¢. View during a pre-scheduled time to engage with the speakers or view on demand at your convenience. Visit ascrs.org to view the 2021 ASCRS Grand Round schedule. Terry Kim, MD Sumitra Khandelwal, MD Moderators