Time for a CataractQuiz and this case requires more thinking and there is no one perfect answer. This patient is about 50 years old and desires unilateral cataract surgery in this right eye. The right eye has a 20/200 cataract while the left eye corrects to 20/25+ with a myopic refraction. The pic below gives the full details of the situation. The patient desires to retain the ability to wear spectacles/glasses for correction so we need to be concerned with anisometropia and aniseikonia.
The patient is also a surgeon with a working distance for performing surgery of about 50 cm (19 inches). What would you recommend for a refractive target in this eye for cataract surgery? Comment below BEFORE you watch the video.
