Recent advances in premium intraocular lens (IOL) have allowed eye surgeons to significantly improve visual results during cataract surgery greater than ever before and achieve excellent refractive results. For the first time IOLs alone allow eye surgeons to reduce corneal astigmatism while replacing a cataract with a toric IOL and reestablishing the range of near and far vision with the multifocal and accommodative presbyopic IOLs. As impressive and dramatic as visual results can be, it important to identify and treat underlying conditions to maximize successful surgical outcomes.Patients' overall health should be stable and free of systemic disease. The visual system of the eye itself can also affect surgical outcomes in several places in the anterior and posterior portions of the eye. The ocular surface, the clarity of the cornea, and the curvature of the cornea can all effect surgical outcomes. Strabismus or glaucoma and pathology posterior in the macula can have an effect as well. Residual refractive error after cataract surgery can also reduce successful outcome and cannot be ignored.
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