Reviews Supplements Bausch + Lomb whitepaper : Page 1

Preparing Patients for Premium Ocular Surgery Marguerite B. McDonald, MD, FACS A surprisingly high proportion of patients planning for ocular surgery have undetected ocular surface disease related to allergic conjunctivitis. Careful presurgical evaluation of the ocular surface is necessary for all patients, including those with minimal complaints. In addition to comprehensive patient education, management of allergic conjunctivitis may involve the use of topical dual-action antihistamine/mast cell stabilizers or an ophthalmic corticosteroid. A history of consistent, on-target outcomes has raised patient expectations surrounding refractive and cataract surgeries to unprecedented heights. 1 Patients commonly cite testimonials from neighbors and friends who were “20/20 after cataract surgery” or who “drove to dinner a few hours after LASIK” as a basis for their anticipated outcomes. Nearly all expect to return to work the day following surgery, if not before. In this climate, patients sometimes fail to realize that each individual is di erent and results vary, even in the best of surgical hands. While it is incumbent upon surgeons to manage expectations by educating patients regarding possible adverse events and suboptimal outcomes (as part of obtaining informed consent), we must also attempt to meet expectations, aiming for rst-time results. Controlling in ammation related to ocular allergy is critical to achieving accurate preoperative assessments, which can contribute to good postoperative outcomes for our patients. Biometry, Surgery and the Ocular Surface Ocular surface health directly impacts our ability to obtain accurate preoperative biometry, as the results of many of the biometric technologies we rely on—eg, topography and aberrometry—depend upon a stable tear lm. 2 In cataract FIGURE 1 Typical allergic conjunctivitis presentation. (Image courtesy of Randall K. Thomas, OD, MPH, and Ron Melton, OD.) surgery, accurate biometry ensures optimal intraocular lens (IOL) power selection. is is important for all patients and critically important for multifocal IOL patients. In LASIK surgery even small errors in biometry can contribute to suboptimal postsurgical results and the need for enhancement. Controlling inflammation related to ocular allergy is critical to achieving accurate preoperative assessments, which can contribute to good postoperative outcomes for our patients In patients with seasonal allergy, often the initial and most prominent manifestations are ocular, although allergic rhinitis 1 SponSored SponSored by by bauSch bauSch + Lomb + Lomb

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