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Focal Points 2019 Module: Management of Postoperative Refractive Surprises After Cataract Surgery

CME Credit
  • Up to 2.0 credits of General CME
Product Number
0202089V

Media Type: eBook

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Focal Points 2019 Module: Management of Postoperative Refractive Surprises After Cataract Surgery

Focal Points 2019 Module: Management of Postoperative Refractive Surprises After Cataract Surgery

Postoperative refractive surprise after cataract surgery can be frustrating for both the patient and surgeon. Many patients currently undergoing cataract surgery have had previous corneal laser refractive surgery and are expecting similar results after cataract surgery. However, these expectations may not be aligned with patient eligibility and inherent limitations of existing IOL technology.

Understanding how to systematically evaluate and treat the postoperative refractive surprise patient allows for better outcomes for both the patient and surgeon.

This Focal Points module outlines the most common etiologies of postoperative refractive surprises and, assuming a normal ocular surface, reviews the five ways to fix a postoperative refractive surprise after cataract surgery: glasses/contacts, laser vision correction (LASIK, PRK), rotation of a toric IOL, IOL exchange and piggyback secondary IOL. How to best discuss treatment options with the patient after cataract surgery is also reviewed.

By completing this module, you will be able to:

  • Approach the postoperative refractive surprise in a systematic manner to achieve patient satisfaction. 
  • Utilize appropriate diagnostic tools to investigate and assist with management of postoperative refractive surprise after cataract surgery.
  • Discuss treatment options with the patient that best suit the unique circumstance and etiology of the missed target after cataract surgery.
  • Apply intraoperative or laser techniques to address intraocular lens positioning issues such as toric misalignment or wrong IOL power.

Author: Nicole R. Fram, MD

Focal Points issues review the most crucial advances and feature insights to help you integrate tested research into your practice.

Subscribers receive 12 issues a year, plus access to the Focal Points digital archive.

This issue includes an audio version.

To access the audio version of this module, scan the QR code in the print module or click the link within the digital module.

To access this issue from your laptop or desktop computer, log in to aao.org/myonlineproducts with your Academy username and password.

To access this issue from your smartphone or tablet, use the free AAO eBooks app. For eBook features, requirements and licensing, visit: aao.org/ebooks. Please allow up to 90 minutes for receiving an access key (via email) that will allow you to retrieve your eBook after purchase.

CME Information
The American Academy of Ophthalmology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Academy of Ophthalmology designates this enduring material for a maximum of 2 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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© 2019, American Academy of Ophthalmology