When we perform cataract surgery for patients with retinal disease, we must tailor the IOL type, design and power to maximize vision given the underlying pathology.
The IOL type that we will most often utilize is a monofocal optic, with or without toric correction. We will sometimes prefer a three-piece IOL design because it will give more options for placement or future suture fixation. For the IOL power consideration, a target of plano or mild myopia is typically recommended, with care taken to adjust the dioptric strength based on the anticipated effective lens position.
For patients with
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