Browse articles from EyeWorld.org from the refractive archives. 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.

Understanding lens tolerance to refractive error and astigmatism

Residual refractive error can leave a patient less than satisfied after ophthalmic surgery. Lens choice can influence this, though continual study and innovation have begun to take it into account, with some lenses now being more forgiving to residual refractive error. EyeWorld spoke with ophthalmologists who have researched this.

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Presbyopia-correcting IOLs: the new kids on the block

When it comes to true presbyopia-correcting lenses, there are two main categories: extended depth of field and full depth of field. Both of these categories have new additions (at least new to the U.S. market), and surgeons already using these lenses are excited about the results.

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Rewind, refresh, and refine for the betterment of patients’ vision

Karolinne Rocha, MD, PhD, previewed the articles in the Refractive section of the issue, concluding, “As we look to the future, ophthalmology will continue to rewind, looking at where we’ve been, refresh, what we’ve been doing well, and refine, what we can improve, for the betterment of our patients’ vision.”

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Evolving roles for LAL and full range of vision IOLs

While many surgeons reserve the Light Adjustable Lens (LAL, RxSight) for post-LASIK, post-PRK, and difficult eyes, others are increasingly using it in routine cataract patients, finding that the ability to set refraction postop with patient input offers advantages. Three physicians shared their experiences and perspectives on this.

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The evolution of LASIK treatment planning

If refractive surgeons had a motto, it probably would be to never settle. Just look at the evolution of LASIK treatment planning ecosystems and treatment refinements—traditional, wavefront-guided, wavefront-optimized, topography-guided, and ray tracing. Three experts shared their thoughts on and experiences with some of the newer LASIK planning platforms.

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Choosing an ophthalmology career path

Choosing the right type of practice to join is an important decision for ophthalmologists beginning their career, and it requires physicians to weigh a variety of factors. Two surgeons discussed their career paths, important factors in their journey, and other considerations in the decision-making process.

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Visual simulators in ophthalmology: available options and functionalities

Recently, visual simulator tools are becoming available within ophthalmology to help demonstrate the vision of certain lenses and aid patients in understanding the options available. EyeWorld spoke to several doctors about the utility of this technology, as well as about specific products.

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Using the ICL as a supplementary IOL

While not a common approach or its primary indication, the ICL (STAAR Surgical) can be used as a supplementary/piggyback IOL in some patients. Three physicians discussed how this off-label approach to using the ICL is opening doors to treat certain patients.

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