Cataract
Summer 2025

by Mitchell Weikert, MD
Cataract Editor

This issue of EyeWorld is the first of the year to follow the 2025 ASCRS Annual Meeting—hard to believe it was only a few months ago! Beyond its unparalleled educational value, the Annual Meeting continues to offer invaluable opportunities to catch up with friends, network with colleagues, learn from experts in our field, and see what industry has coming down the road. Although a comprehensive list of the meeting’s highlights would be an article in and of itself, some notable features for me were the Binkhorst Lecture from Ronald Yeoh, MD, the Kelman Lecture from Damien Gatinel, MD, PhD, and the Lindstrom Lecture from Reza Dana, MD. I can’t leave out Dr. William Flanary’s musings on advocacy (always fun to learn through laughter with Dr. Glaucomflecken) or the changing of the guard with the introduction of our new ASCRS President, Francis Mah, MD. No one can catch it all, but if you’d like to see what you missed or review what you enjoyed the first time around, check out ASCRS On Demand on ascrs.org, or read meeting coverage from EyeWorld Onsite at www.eyeworldonsite.org.

The theme of this issue is “Changing mindsets: current solutions and what’s ahead.” Our first cataract surgery-oriented article takes a little detour from the usual format, asking members of the ASCRS Cataract Clinical Committee and EyeWorld Cataract Editorial Board to weigh in on: “If I could ask industry to produce one new product, this is what it would be and why.” Given free rein to let their imaginations run wild, Ashraf Ahmad, MD, Alice Epitropoulos, MD, Nicole Fram, MD, Huck Holz, MD, Robert Weinstock, MD, and Dagny Zhu, MD, offer their recommendations on a wide range of areas, including IOL design, anesthesia techniques, lasers, ocular surface rehabilitation, and diagnostic devices. Their wish lists run the gamut from practical modifications of existing products to technologies that may be a little bit “beyond the horizon.” You might find that the article gets your own imagination going!

Next up is a comprehensive discussion of a common, yet challenging, clinical predicament—cataract surgery in the setting of uveitis. In this article, Anat Galor, MD, Sanjay Kedhar, MD, and Marissa Larochelle, MD, introduce their approach to patients with both a known history of uveitis and those who present with it postoperatively. Framed around pre-, intra-, and postoperative management, their conversation hits all the relevant points: potential etiologies, warning signs to identify in the office, systemic considerations, medical optimization, anesthesia choice, surgical tools and techniques, IOL choice, and potential postoperative complications. A glimpse into potential future therapies is also provided.

In the final cataract-focused article, Soroosh Behshad, MD, MPH, Bryan Lee, MD, JD, Robert Osher, MD, and I revisit the topic of toric IOL marking. The debate over manual vs. digital marking continues with each contributor discussing their preferences, as well as the merits and challenges of each method. Running themes include ocular surface management for accurate measurements, economic considerations, and the continued need for manual marking despite access to digital tools. One thing we all agree on is the need for a meticulous and consistent approach, no matter the preferred technique.

We hope you enjoy this issue of EyeWorld and that it helps to boost your mindset for better care.