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Year : 2022  |  Volume : 36  |  Issue : 2  |  Page : 142-148

Ocular surface optimization before cataract surgery

1 Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA
2 Duke Eye Center, Duke University, Durham, North Carolina, USA
3 Triangle Eye Consultants, Durham, North Carolina, USA

Correspondence Address:
Dr. Preeya K Gupta
2075 Renaissance Park Place, Cary, North Carolina 27713
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sjopt.sjopt_190_21

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The evolution of refractive cataract surgery has increased patient expectations for visual outcomes following cataract surgery. Precise biometry and keratometry are critical for accurate intraocular lens (IOL) selection and favorable surgical outcomes. In patients with the ocular surface disease and corneal pathologies, preoperative measurements can often be erroneous, leading to postoperative refractive surprises and dissatisfied patients. Conditions such as dry eye disease, epithelial basement membrane dystrophy, Salzmann's nodular dystrophy, and pterygia need to be addressed thoroughly before performing cataract surgery to optimize the ocular surface, obtain high-quality preoperative measurements, and ultimately determine the appropriate IOLs. In this review, the various ocular surface pathologies affecting cataract surgery outcomes and options for treatment are discussed and the importance of optimization of the ocular surface before cataract surgery is reviewed.

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