5 EyeWorld Asia-Pacific | March 2025 An important component that needs to be considered, is the presbyopic solution that you recommend to your patient, especially when considering the many options that are available today. The total number of different options that are available can be confusing to patients and, indeed, to their surgeon. Not all surgeons will offer the same advice, yet we have an obligation to offer the solution that we truly believe provides the best balance of optical quality and addresses near vision for our patients. Based on these principles, I have personally found discussing lens selection and presbyopia options to be a straightforward matter. It is no longer acceptable to leave a patient with significant astigmatism, and I attempt a target of less than 0.5 D residual astigmatism in all of my patients. Although I have used multifocal lenses in the past, modest monovision with a target of -1.25 D has provided an effective solution for presbyopia. The counselling involved is straightforward and not timeconsuming. Although I do not promise spectacle freedom, many patients are delighted to find that they can manage without spectacles especially if the modest monovision is combined with an EDOF IOL incorporating positive spherical aberration. I have only used two IOLs in the past 10 years: either a monofocal Toric, or an enhanced depth of focus/EDOF IOLs based on these principles. For our current issue of EyeWorld Asia-Pacific, it is clear that there are other approaches to discussing lens selection, and that all have merit. I would simply recommend that you find a pathway that has proven successful in your practice, and advise your patients accordingly. Warmest regards, Graham Barrett LEARNING FROM THE MASTERS IMPORTANT DATES apacrs2025.org Dada Harir Stepwell in Ahmedabad, India 21 MAY 2025 Deadline for 1st Tier Early Bird Registration Rates Deadline for Submission of ePosters and Videos for Film Festival • 21 JUNE 2025 Deadline for 2nd Tier Registration Rates • 22 JUNE 2025 ONWARDS On-site Registration Rates Apply
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