Fancy Lenses

I recently was on a forum of ophthalmologists, and someone posted a question about a patient. This patient did not have a normal cataract surgery lens placement, though the author did not describe why. In any case, the patient is not happy and wants the lens implant exchanged but also wants all the bells and whistles (trying to achieve as much glasses-independence as possible far away and up close). Unfortunately, with the atypical lens placement, I think that this is going to end up being an exercise in a dissatisfied patient staying dissatisfied. Perhaps I am too conservative, but I think that fancy lens implants to reduce glasses-dependence are really best suited for patients who have “nothing else going on” in their eyes. Patients who have no other eye diseases and have normal anatomy with the ability to use typical lens implant locations. Otherwise, even small issues can lead to unsatisfactory results.

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