August consultation #6

This case requires expertise in both ophthalmology and psychology. The patient is motivated to be spectacle free. Good distance vision is desirable for many individuals, but the patient also has an occupational need for good intermediate vision. Furthermore, the patient has myopia and is probably used to reasonably good UNVA. This patient shows bilateral inferior corneal steepening without apparent thinning. This irregular astigmatism will result in vertical coma that will influence his postoperative visual outcome.
Source: Journal of Cataract and Refractive Surgery - Category: Opthalmology Authors: Tags: Consultation Section: Cataract Source Type: research