Surgeon provides tips for successful presbyopic surgery
Dr Uday Devgan, a MD, FACS has offered some helpful points to succeed in the presbyopic IOL while going for Cataract surgery. The first thing to be done is post-op emmetropia with the use of precise lens calculations with either immersing ultrasound or the Zeiss IOLMaster, as well as personalization of the A-constant. Selection of the right kind of patients by understanding their expectations is the key to success. Sufficient care has to be taken so that complications are minimized. Producing clear corneas on post-op day 1 is important for patient satisfaction. This can be done by reducing the phaco energy placed into the eye and protecting the cornea with a good quality viscoelastic. Cleaning up the cortex can be done by silicone coated I&A tip. This avoids direct contact of bare metal of I&A tip with the delicate posterior capsule.
