Through their careers, most cataract surgeons become highly comfortable with and adept at performing phacoemulsification, removing even the most challenging lenses, and placing lens implants with little stress. As their comfort in this procedure grows, it often decreases with other operations performed less frequently, such as intraocular lens exchange.
For some, the prospect of performing such an exchange is concerning enough that they would instead not offer a patient a refractive intraocular lens implant that runs the risk of an undesirable outcome, whether a refractive miss or unwanted visual phenomena. For them, it’s simply not worth the trouble. Market research shows that fear of an undesirable outcome is the primary reason many surgeons do not use premium lenses.
Still, most patients report they are somewhat interested in refractive lens options when considering cataract surgery. What is a surgeon who wants to serve patients’ desires but within their comfort zone? Future tunable lens implants may be the answer.