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Sound Optometry


Domains: Communication, Clinical Practice

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Welcome to Docet’s podcast Sound Optometry, hosted by Michelle Hanratty, an IP optometrist with 20 years’ experience on the high street and in hospital. Each month, with case studies and in-depth conversations, we will be exploring topics that matter the most to you as optometrists and are relevant for everyday practice.

Episode 42 - Presbyopia: Refractive surgery solutions

At some point in their lives, all patients experience presbyopia. There is no getting away from it. Patients are increasingly interested in all forms of vision correction to reduce their dependency on spectacles, and many turn to contact lenses. For those who do not suit contact lenses, or who have cataracts, refractive surgery can provide a welcome solution.

As Head of Eye Sciences at Optegra, Professor Clare O’Donnell is better-informed than most on the topic. Discussing her personal presbyopic journey with presenter Michelle Hanratty, Clare explains how she came to decide upon the best solution for herself. We then hear from Amir Hamid, a cataract and refractive surgeon who has a special interest in presbyopic correction. He discusses the different lens options available for patients and explains why every patient needs a tailored approach to their presbyopic correction, whether it be lens or laser surgery.

Finally, Michelle Hanratty speaks with Sundeep Vaswani, a specialist refractive optometrist and refractive trainer for Zeiss, and together, they discuss the considerations that need to be made when patients who have undergone presbyopic surgery attend for an eye examination.

Listening to this podcast will give optometrists an understanding of the refractive surgery options available for presbyopia so that they can advise patients more fully and manage post-surgery patients with more confidence.

An additional reading element consolidates the learning on this topic.

Subscribe to the series on your preferred podcast player so you don’t miss an episode. You can access all episodes of Sound Optometry here.

First published: September 2024
Last reviewed: June 2025

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    Communication

    s.1 Listen to patients and ensure they are at the heart of decisions made about their care 

    • Understand a patient’s lifestyle and visual requirements. 
    • Able to ensure they are at the heart of decisions made about their presbyopic vision correction.

    s.2 Communicate effectively with patients

    • Able to communicate effectively with patients about the available options for correcting presbyopia with either laser of lens surgery.


    Clinical Practice

    s.5 Keep your knowledge and skills up to date

    • Know about the potential refractive surgery solutions available for presbyopia.
    • Understand the benefits and limitations of various surgical presbyopic correction modalities.

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      • Audio track

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      • Key points

        • From contact lenses to Presbyond LASIK – a patient’s journey
        • Motivating factors for surgical presbyopic solutions
        • Indications for laser presbyopic vision correction
        • Benefits and limitations of presbyopic refractive surgery
        • Multifocal vs EDOF vs monovision solutions
        • Managing patient expectations
        • Real world outcomes
        • Refraction of the post-surgery patient.

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