EyeWorld India June 2019 Issue

EWAP JUNE 2019 49 CATARACT time to set these expectations is essential in the process.” ˜ À° œ`i˜½Ã iÝ«iÀˆi˜Vi] residual refractive error is the main source of postop unhappiness. Residual sphere and cylinder as low as 0.25 D, he Ã>ˆ`] V>˜ >vviVÌ «>̈i˜Ì𠺅>Ûi seen patients with refractions of +0.25-0.50 @180 with dramatic resolution of symptoms when trial framed,” he said. “This «>̈i˜Ì ̅i˜ ˜ii`à *, É Ƃ- œÀ to accept spectacles on a part- time basis. Cylinder of 0.75 D or greater is a near 100% need for *, É Ƃ- ˆ˜ “Þ «À>V̈Vi° -«…iÀi of +0.50 or greater is a deal killer. The real goal is plano unless a mini-monovision effect is desired. Of course, mild PCO must be evaluated and managed as well. “For the truly unhappy patient there may be no alternative other than explantation for a “œ˜œvœV> " ]»…i Vœ˜VÕ`i`° º7…ˆi ˜œ " ˆÃ «iÀviVÌ] " " à Ài«ÀiÃi˜Ì > “>œÀ step forward in our efforts to treat presbyopia,” Dr. Chang said. “They have given me the Vœ˜w`i˜Vi ̜ œvviÀ > ÃÕÀ}ˆV> solution for presbyopia in a majority of my patients. When used wisely and in conjunction with high-quality multifocal " à ̅>Ì “ˆ˜ˆ“ˆâi œ«ÌˆV> >LiÀÀ>̈œ˜Ã] " " à “>Ži many of my patients very happy.” EWAP