Browse articles on EyeWorld.org. EyeWorld is the award-winning member publication of ASCRS. The magazine provides news and updates from the Society as well as clinical features in the areas of cataract, refractive, cornea, glaucoma, and practice management. It publishes quarterly with editorial direction from its medical editorial board and staff.

Unhappy patients after cataract surgery: Reasons for dissatisfaction and how to help

Even with a technically perfect outcome after cataract surgery, physicians may still find that some patients are unhappy. This dissatisfaction can be due to a number of factors that go beyond visual outcome. Two surgeons shared what can cause unhappiness and how they discuss it with patients.

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An algorithm for ‘Getting to Happy’ after cataract surgery

A patient comes in for a postop visit unhappy with their vision after they’ve received a presbyopia-correcting IOL—now what? Tal Raviv, MD, created an algorithm, the Raviv “Getting to Happy” Post-IOL Algorithm, to help guide physicians through the process of managing a patient who is unhappy with their presbyopia-correcting IOL.

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Comanagement in refractive cataract surgery

According to Tal Raviv, MD, comanagement has been a part of ophthalmology for more than 40 years as a means to coordinate surgical ophthalmic care among different provider types. “It has regained attention and scrutiny with the growth of refractive cataract surgery,” he said. “But today’s practice environment is quite different from the past.”

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Being more aggressive about educating patients

“If there was ever a top 10 list of issues on which eyecare as a whole could ‘up its game,’ it should include the fact that we all need to be more aggressive about educating patients on the fact that they can create their own self-induced keratoconus by repetitive pressure on their eyes,” according to EyeWorld Refractive Editor Vance Thompson, MD.

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