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Modern OptometryA Pre-Surgery Checklist for Optometrists

Navigating Preoperative Protocols for Refractive IOL Surgery

For physicians involved in co-managing patients undergoing refractive intraocular lens (IOL) surgery, a comprehensive pre-surgery checklist is crucial for optimal outcomes. This checklist should encompass patient candidacy, communication strategies, lifestyle considerations, and ocular health assessments.

Key Points:
  • A presurgical checklist is essential for determining patient candidacy and includes criteria for cataract surgery and refractive lens exchange.
  • Effective communication with the refractive surgeon and among healthcare providers is vital for patient confidence.
  • Lifestyle and visual expectations must be assessed to tailor the surgical approach, including lens selection.
  • Preexisting ocular conditions and systemic medications that could affect surgery outcomes need to be identified and managed.
  • Ocular surface optimization, including dry eye treatment, is necessary for improving postoperative results.
Additional Points:
  • Refractive lens exchange is an elective procedure and not covered by insurance.
  • Patients with rigid gas permeable lenses or a history of monovision have specific preoperative considerations.
  • A multifaceted approach to dry eye treatment can include steroids, hypochlorous acid solutions, and punctal occlusion.
  • A well-structured pre-surgery checklist that includes patient assessment, communication, and ocular surface optimization can significantly enhance the success rate of refractive IOL surgeries.
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“Providing patients with the necessary tools before surgery will make them feel empowered and confident, creating an optimal environment for achieving excellent results.”
M. Nabila Gomez, OD, FAAO

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