Eyeworld

54 | EYEWORLD | SPRING 2024 ATARACT C I t's already time for the Annual Meeting! Where did the year go? I hope you're as excited as I am to return to Boston and for the oppor- tunities to learn from each other, network with peers and industry, and catch up with old friends (and hopefully make some new ones). In anticipation of this fun and educational event, this issue of EyeWorld highlights a few of the many valuable offerings available at the upcoming meeting. Find out: • Who will deliver the Innovator's, Binkhorst, and Lindstrom lectures (hint: one of them is yours truly…) • Who will be honored with the Humanitari- an and Educator awards • What topics will be covered at the various symposia • What Subspecialty Day will have in store for us • Elizabeth Yeu's thoughts on her term as ASCRS President In addition to these Annual Meeting highlights, this month's EyeWorld also address- es several practical issues that are commonly associated with cataract surgery. Persistent foreign body sensation (FBS) is a condition that affects 10–15% of patients following cataract surgery. D. Brian Kim, MD, and Rony Sayegh, MD, discuss the etiology of this very frustrating malady and provide tips for its diagnosis and management. In addition to identifying the underlying preoperative conditions that exacer- bate postoperative FBS, they also examine the causes that may be directly related to surgery. After providing recommendations for simple clinical tests that can help to narrow the focus, they finish by addressing the various treatment options that can be employed to improve the pa- tients' comfort and, hopefully, lead to resolution of their symptoms. In this era of refractive cataract surgery, determining ocular dominance is an important step in our effort to optimize and individualize our intraocular lens selection strategy. While the general consensus may be that ocular dominance is pretty straightforward and easy to determine through simple testing, Daniel Durrie, MD, Arthur Cummings, MD, and An- drew Kopstein, MD, endeavor to shine a light on this potentially more complex topic. Dr. Durrie starts by reorienting our thought process toward "sensory dominance" and discusses his experience with a new visual simulation tool that can aid in our understanding of how this process manifests in individual patients, as well as the broader population. Dr. Cummings details his preoperative approach to assessment of both sensory dominance and "blended vision" tolerance. He also addresses how he uses these findings to choose between monofocal, EDOF, and trifocal IOLs. The role of sensory domi- nance in the use of the Light Adjustable Lens (LAL, RxSight) is covered by Dr. Kopstein, who provides some insight into how he factors dom- inance into selection of the targets for postoper- ative adjustment. In the final cataract-centered article for this issue, Sahar Bedrood, MD, PhD, and JoAnn Giaconi, MD, review the many challenges sur- rounding cataract surgery in short eyes. In this YES Connect column, they identify the clinical findings that you don't want to miss and pro- vide recommendations on the biometric assess- ment of these anatomically unusual eyes. Given the variability of refractive outcomes for this challenging group, they also focus on the new IOL calculation formulas that seem to perform better in eyes with shorter axial lengths. After reviewing the surgical complications that are specific to short eyes, they finish with a compre- hensive list of surgical pearls that will increase the likelihood of successful and safe cataract removal. We hope you enjoy this month's EyeWorld and look forward to seeing you in Boston at the Annual Meeting in April. by Mitchell Weikert, MD Cataract Editor Practical issues commonly associated with cataract surgery

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