Preoperative evaluation for cataract surgery

Craig W. See, Mustafa Iftikhar, Fasika A. Woreta

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of reviewTo provide a consolidated update regarding preoperative evaluation for cataract surgery.Recent findingsVisual acuity alone is a poor gauge of cataract disability. Modalities such as wave front aberrometry, lens densitometry, and light-scatter assessments can quantify optical aspects of cataract and may prove clinically useful in surgical evaluation. Advances in biometry are driving improvements in refractive outcomes, which in turn have increased patient expectations. Future advances in biometry technology may include three-dimensional imaging of the cornea and lens. Screening for ocular comorbidities has become increasingly important, particularly to guide lens selection. Risk stratification systems can help guide surgical decisions and may decrease intraoperative complication rate. A comprehensive medical history and physical is currently mandated for all Medicare patients undergoing cataract surgery but may be of limited utility for low-risk patients.SummaryRising patient expectations and a growing number of surgical choices have expanded the cataract preoperative evaluation. A systematic and comprehensive examination which includes identifying any ocular comorbidity is essential for surgical planning and counseling on visual prognosis. New technologies will continue to inform, but not replace, sound clinical judgment.

Original languageEnglish (US)
Pages (from-to)3-8
Number of pages6
JournalCurrent opinion in ophthalmology
Volume30
Issue number1
DOIs
StatePublished - Jan 1 2019

Keywords

  • cataract
  • cataract extraction
  • cataract surgery
  • preoperative assessment
  • preoperative evaluation

ASJC Scopus subject areas

  • Ophthalmology

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