Surgical Considerations

1. Pre-Operative Work-Up
   1. Visual needs/problems
   2. Systemic health status
   3. Visual acuities (distance and near)
   4. Refraction
   5. Keratometry
   6. Slit Lamp Evaluation
   7. Tonometry
   8. Dilated fundus evaluation
      1. Assessment of cataract type
      2. Optic nerve head evaluation
      3. Retinal evaluation
   9. A-scan measurement
   10. B-scan measurement (when indicated)
   11. Potential acuity measures (?)
   12. Desired post-op refraction
   13. Patient counselling issues
2. No-Stitch Cataract Surgery

3. Post-Operative Care
   1. The role of optometrists
   2. Follow-up protocol
      1. Symptoms
      2. Visual acuity
      3. Keratometry
      4. Refraction
      5. Slit lamp examination
         1. Pupil status
         2. Corneal evaluation
         3. Conjunctival evaluation
         4. Wound status
         5. Anterior chamber assessment
         6. IOL positioning
         7. Posterior capsule appearance
         8. Anterior vitreous evaluation
      6. Retinal evaluation
   3. Follow-up frequency/intervals
4. Long-Term Considerations
   1. Pupillary dilation and IOL type
   2. YAG capsulotomy
   3. Glaucoma medication considerations
5. Secondary IOL's