Before blaming the formula, check the ocular surface

Even with modern biometers, newer IOL formulas and advanced surgical techniques, refractive surprises still occur. Surprisingly, in many cases, the explanation lies not in the technology but in the ocular surface.
Modern cataract surgery has reached remarkable levels of precision. Optical biometers, advanced formulas and refined surgical techniques have made refractive outcomes more predictable than ever before.
Yet refractive surprises still occur.
In everyday practice, surgeons sometimes encounter a familiar situation: postoperative vision that does not match what the preoperative measurements








