EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.
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FALL 2025 | EYEWORLD | 39 Contact Name: email C and evaluating measurement repeatability. "If the irregularity is consistent across scans, that indicates it is a true anatomical issue, such as EBMD or Salzmann's nodules," he said. "If the corneal irregularity is not repeatable, and if it improves after treatment, that points to dry eye/ocular surface disease as the source of the inconsistent readings." Dr. Trattler said focusing on surface opti- mization preop is like doing your homework ahead of time vs. having to work harder on the back end. "Doing the work ahead of time has a payoff—happier patients, better outcomes, and more comfortable patients postop," he said. Dr. Trattler said he does everything he can to im- prove a patient's ocular surface rapidly without delaying surgery. "I get my patients scheduled for surgery on the first visit, but I bring them back in between for their final measurements," Dr. Trattler said. "It's pretty rare that I have to reschedule surgery." for our practice, so we strive to achieve the best results for every case." He added that patients who initially decline an advanced-technology lens can sometimes reconsider and call back to explore more advanced options. Dr. Trattler's threshold for optimization and measurement quality does not differ if the patient is seeking a monofocal or advanced-technology lens. "Not only is it important to address dry eye preoperatively, but patients often experience dry eye symptoms after surgery. If their condition wasn't treated prior to surgery, they may return complaining that their eyes are irritated and/or their vision is blurry, due to an exacerbation of their underly- ing dry eye. These patients may think that these symptoms are related to complications from their surgery, when in reality these symptoms are caused by their pre-existing dry eye that was not effectively treated." Dr. Trattler explained that topography is most helpful for assessing corneal irregularity © 2025 OCuSOFT Inc, Rosenberg, TX 77471 USA Superior Relief for Dry, Irritated Eyes Restores Moisture Relief for Allergy Eyes Superior Dry Eye Relief For more information or FREE Samples call (800) 233-5469 or visit www.ocusoft.com