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Course Summary

Stephen Campbell, Polly Dulley & Roger van Schaick (14:04)

Cataracts are a leading cause of blindness and can be treated effectively with surgery to remove and replace the clouded lens with an artificial intraocular lens. This is a common and minimally invasive operation that takes place under local anaesthesia and has low complication rates. Selecting the optimum prescribing power and the type of intraocular lens – monocular, multifocal or toric – involves the consideration of multiple factors, both objective and subjective. In this interview, Polly Dulley asks patient Roger van Schaick about the choices he faced when undergoing cataract surgery, and discusses the decision making process with Consultant Ophthalmologic Surgeon Stephen Campbell.

First published in DOCET OQ91 (2014).

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    7.1.1 Understand the best management of pre- and post lens extraction anisometropia so best able to advise the patient and communicate with the surgeon to minimise binocular stress.

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      Avoiding problems of anisometropia with intraocular lenses

      Stephen Campbell, Polly Dulley & Roger van Schaick

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      References:

      • Barsam A, Donnenfeld ED, et al. 2012. Presbyopic intraocular lenses: Managing unhappy patients. European Ophthalmic Review. 6 (2), 112 – 114.
      • Bowen-Thomas O, et al. 2013. Refractive lens exchange for high myopia: Case report. Optometry in Practice. 14 (4), 155 – 160.
      • Lundstrom M, et al. 2013. Visual outcome of cataract surgery: Study from the European Registry of Quality Outcomes. J Cataract Refract Surg. 39 (5), 673 – 679.
      • Zhang F, et al. 2011. Visual function and patient satisfaction: Comparison between bilateral diffractive multifocal intraocular lenses and monovision pseudophakia. J Cataract Refract Surg. 37 (3), 446 – 453.
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