Ocular Surface Optimization: The Best First Step in Modern Cataract Surgery

By
Jeff Banas
May 20, 2026

The Ophthalmologist

Objective:

To emphasize the importance of ocular surface optimization as a critical first step in refractive cataract surgery, directly linking it to enhanced patient satisfaction and improved surgical outcomes.

Key Findings:

Dry eye disease (DED) significantly affects IOL power accuracy, impacting surgical outcomes, with a noted increase in postoperative complications.
About 80% of patients undergoing cataract surgery have abnormal tear tests, indicating a widespread issue that needs addressing.
Optometrists play a crucial role in identifying and managing OSD before surgery, which can lead to better surgical outcomes.

Interpretation:

Optimizing the ocular surface is essential for achieving accurate preoperative measurements, which directly influences the success of cataract surgery outcomes.

Limitations:

OSD is often underdiagnosed, leading to missed opportunities for optimization, particularly in asymptomatic patients.
Geographical factors may affect the prevalence of dry eye symptoms, complicating diagnosis and treatment.

Conclusion:

A proactive approach to ocular surface optimization not only improves individual patient outcomes but also strengthens the comanagement relationship between optometrists and surgeons, ensuring a higher standard of care.

Ocular Surface Optimization: The Best First Step in Modern Cataract Surgery

Objective:

Key Findings:

Interpretation:

Limitations:

Conclusion:

Original Source(s)

Ocular Surface Optimization: The Best First Step in Modern Cataract Surgery

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