Minimize residual sphere to ensure refractive satisfaction

WAIKOLOA, Hawaii — Minimizing residual sphere and cylinder is one method of ensuring patient satisfaction after refractive cataract surgery, according to a speaker.
“The major outcome in [refractive] cataract surgery is really the patient’s perception of outcome,” Julie Schallhorn, MD, said at Hawaiian Eye 2026. “It’s not what you measure them at or their postoperative refraction. It’s how happy they are. That comes down to a very existential question: What makes people happy?”
Schallhorn said patients are twice as likely to be unhappy in a monofocal lens if they have 0.5 D of residual sphere