KEY TAKEAWAY POINTS

Managing ocular surface diseases (OSD), especially dry-eye disease (DED), is critical to improve visual outcomes and patient satisfaction after cataract surgery. The ASCRS Cornea Clinical Committee recommended algorithm for preoperative diagnosis and treatment of OSD is available for adoption.

Performing a spectral-domain or swept-source macular optical coherence tomography (OCT) on every single cataract patient preoperatively, and not just on premium intraocular lens (IOL) patients, may prevent “visual surprise”.

Other preoperative steps to improve outcomes include: minimizing the biometry measurement error by ensuring “no touching, no drops” before measurement, selecting highly accurate and reproducible technology, keeping consistency in measurement and technology usage, understanding the limitation of technology and utilizing additional measurements when necessary, and implementing advancements in measurement technology.