Ophthalmic Opinion - Vol 6 No 3 - 2023

Introduction

Post-operative dysphotopsia – prevention and treatment

There are few things more frustrating for the cataract surgeon than having a dissatisfied patient post-operatively despite a ‘perfect’ surgical outcome. Even with appropriate IOL selection and technically meticulous surgical technique with achievement of target refraction, a patient can present with visual complaints leading to dissatisfaction. The most common and bothersome culprit of patient dissatisfaction in these cases is post-operative dysphotopsia, which occurs to varying degrees in up to two thirds of all patients undergoing phacoemulsification. Because dysphotopsia is so common, we need to have a clear management plan for it. This article reviews recent literature to assess if post-operative dysphotopsia can be predicted and prevented, and how to successfully manage patients who develop it.

Lower blepharoplasty

The budding oculoplastic surgeon should approach lower blepharoplasty with caution. Patient selection is critical both from a psychological and anatomical view point. This is a purely cosmetic operation in order to improve the aesthetic appearance of the patient, so patient expectations are high. Selection of the appropriate surgical technique for each patient and meticulous surgical technique is critical.