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    ODs: Rulers of the Land of Presbyopia


    Maybe the new IOL increases the brightness, and images are clearer. The patient compares it directly to the “old eye” after the first eye is done, and the impression is remarkable. I have had multiple patients say the surgery “turned up the volume” on their vision. Loudness trumps clarity, apparently.

    And if the patient complains? The surgeon says, “Your surgery is perfect. Go see your optometrist.” Lucky me.

    Or it may be that patients paid so much money, they do not want to admit they did not get their money’s worth.

    Maybe the twilight anesthesia has a long-acting, diazepam effect.

    Maybe the evil-spirited crystalline lens being removed takes the evil-spirited, “I hate my glasses” personality with it.

    Maybe the female patients are so busy cleaning their homes, they don’t have time to complain.

    Maybe the males are too busy worrying about their spouses seeing them now that their vision is corrected.

    Related: Offer options to your cataract patients

    Optical perfection

    Whatever the reason, I will continue to strive for the perfect optical correction.

    When patients come to the office with minor refractive errors, I offer to change their spectacles and contact lenses, one tiny step at a time if necessary. I hold loose lenses over their eyes and ask, “Which is better, one or two?”, over and over and over and over.

    Ever see that happen in a surgeon’s office?

    If you did, an OD did it.


    1. American Optometric Association. Care of the Patient with Presbyopia. Available at: http://www.aoa/org/documents/optometrists/CPG-17.pdf. Accessed 6/6/17.

    More from Tracy Schroeder Swartz, OD, FAAO

    Tracy Schroeder Swartz, OD, MS, FAAO
    Tracy Schroeder Swartz currently practices at Madison Eye Care Center in Madison, Alabama. She serves as Education Chair for the ...

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      I always thought how can the same optics in MF's CL's work so poorly yet when incorporated in an IOL they are perfect. SMH.

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