WINTER 2024 | EYEWORLD | 41
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• Don't use this lens in patients whose pupils
dilate to less than 6 mm; it makes it harder to
do adjustments.
• A medical ophthalmologist or knowledgeable
OD team can make the surgeon's practice with
the LAL more efficient.
• Have a thorough discussion with the patient
to set appropriate expectations for the postop
commitment with this lens (expect 3–4 extra
visits).
• Have a longer discussion with high myopes
who might try to get more near vision with
this lens at the sacrifice of good distance
vision. "In these cases, you may want to lean
toward a multifocal lens with more near pow-
er," he said.
• Don't feel like you have to do an adjustment
just because it's there.
• Make sure the cornea is clear and stable
before performing adjustments; outcomes can
change if the ocular surface isn't tuned up.
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Rosa Braga-Mele, MD, Cataract
Editorial Board member, shared what
evolving treatments and techniques in
ophthalmology she is excited about:
New phaco technologies that allow
for more precise fluid control and
better cutting power and efficiency
New IOL technologies within the
trifocal arena that are being designed
to help minimize dysphotopsias
New diagnostics and biometry that
will capture images more efficiently
and thoroughly and optimize IOL
choices for patients
EVOLVING
