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When I see patients experiencing problems with a premium presbyopia-correcting IOL, I first and foremost always wait because I need to figure out the root cause as to why they are unhappy.
The two main reasons are undiagnosed ocular surface disease or residual refractive error, both of which need further investigation using a stepwise approach. If I suspect undiagnosed ocular surface disease, I immediately check the ocular surface, perform fluorescein staining as well as point-of-care