How do you identify OSD in patients, and what measures are required before proceeding with surgery?

[AdminWolf]

Question 4: When OSD is discovered prior to surgery, should you postpone the procedure for treatment, or stabilize the tear film, then proceed with surgery?

From the Marco Power Forum III, New Orleans, LA

with:
Larry Patterson, MD
Mitch Jackson, MD
Cynthia Matossian, MD
Neda Shamie, MD
Toby Tyson, MD


Thanks to Marco for letting me re-post this; I realize the panel and the video was aimed at OMDs primarily, but so much of the discussion is highly relevant to ODs. -- adam

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Other videos from the Power Forum III:

Question 1: How does data from Angles Alpha & Kappa, Corneal SA, Coma, pupil size, and Corneal vs. Lenticular Astigmatism improve your premium IOL selections and outcomes?

Question 2: What wavefront data should you use to select EDOF IOLs for patients?

Question 3: What are the multi-function benefits of using an integrated Wavefront Aberrometer, registered on the patient’s optical center?

Question 4: When OSD is discovered prior to surgery, should you postpone the procedure for treatment, or stabilize the tear film, then proceed with surgery?

Question 5: How do we characterize and localize Astigmatisms within the optical pathway?

Question 6: How do you manage patient expectations and IOL selection?

Question 7: How do we measure OPD ROI and monetize the advanced diagnostic test regimen?

 

[AdminWolf]

This one is interesting --

As they mention in the video, in the pre-surgery workup a large % of cataract patients are asymptomatic, but 50-80% of folks have objective signs of dry eye.

How often are you asked to really tune up the ocular surface before the patient is sent off for surgery? This could make the difference between a good outcome and a not-so-hot one.