In this episode, Dr. Sam Barry and Dr. Sud Koshik discuss the Light Adjustable Lens (LAL) and its use in cataract surgery. They talk about the preoperative counseling process, the adjustments required post-surgery, and the benefits of the LAL. They also discuss the criteria for selecting patients for the LAL, including considerations for astigmatism and ocular dominance. The conversation touches on the LAL Plus and the importance of aiming for distance vision and adjusting myopically to enhance depth of focus. Overall, the LAL is seen as a remarkable technology that allows for post-operative adjustments without additional surgeries. In this conversation, Dr. Sam Barry and Dr. Sud Koushik discuss the use of light adjustable lenses (LAL) in cataract surgery. They talk about the stepwise approach to achieving the desired refractive outcome, including adjusting the non-dominant eye and using contact lenses for trial. They also discuss the timing of post-operative visits and the potential benefits of immediately sequential bilateral cataract surgery (ISBCS). The conversation touches on the importance of preoperative biometry and the interpretation of optical biometry measurements, particularly in patients with a history of refractive surgery. The surgeons also highlight the need for surgeons to be proficient in every step of the cataract surgery procedure, including the loading and implantation of three-piece lenses. They conclude by mentioning future topics to explore, such as the use of LAL in patients with radial keratotomy or keratoconus.

In this conversation, Dr. Sud Koushik and Dr. Sam Barry discuss various topics related to refractive surgery and cataract surgery. They touch on the benefits of refractive surgery in reducing the risk of contact lens-related complications and the importance of educating patients about this option. They also discuss the best options for vision correction in patients with hyperopia and presbyopia, such as refractive lens exchange or clear lens exchange. The conversation also delves into the debate of whether to perform MIGS procedures before or after cataract surgery, with both doctors presenting their arguments. The conversation concludes with a discussion about the benefits of using the NGenuity visualization system in surgery.

In this conversation, Sam Barry and Sud Koushik discuss intraocular lenses (IOLs) and their use in cataract surgery and refractive lens exchange. They explain that IOLs are used to replace the natural crystalline lens in the eye and can be implanted before or after the development of a cataract. They describe how IOLs are held in place by the capsular bag and zonules in the eye and discuss the different types of IOLs available, including monofocal lenses, toric lenses for astigmatism, and multifocal lenses. They emphasize the importance of understanding patient goals and preferences when choosing the appropriate IOL. Dr. Sam Barry and Dr. Sud Koushik discuss the different types of intraocular lenses (IOLs) used in cataract surgery and refractive lens exchange. They explain that IOLs can correct distance, intermediate, and up-close vision, but there is no lens that can provide 100% spectacle independence for all distances. They also discuss the concept of diopters as a unit of measurement for lens power and astigmatism correction. The doctors highlight the benefits of the Light Adjustable Lens (LAL) and the IC8 Apthera lens, which offer adjustability and improved vision for patients with specific eye conditions. They also mention the PanOptix lens as a popular choice for multifocal vision correction. The conversation concludes with a discussion on the cost of IOLs.