Would you use a multifocal lens in an eye with an irregular cornea?

Click here to read the Cover Story, "Irregular corneas need to be addressed before cataract surgery."

My decision-making on which lens to choose depends on the irregularity I see in the cornea.
The first thing I want to do is make sure the irregularity is not due to dry eye. I treat the ocular surface and make sure it is pristine before moving forward. I see a lot of patients with prior LASIK who had decentered ablations or patients with prior RK. All the aberrations experienced visually by the patient in these complex corneas can be compounded by a multifocal lens in addition to a reduction in

Click here to read the Cover Story, «Irregular corneas need to be addressed before cataract surgery.»

My decision-making on which lens to choose depends on the irregularity I see in the cornea.
The first thing I want to do is make sure the irregularity is not due to dry eye. I treat the ocular surface and make sure it is pristine before moving forward. I see a lot of patients with prior LASIK who had decentered ablations or patients with prior RK. All the aberrations experienced visually by the patient in these complex corneas can be compounded by a multifocal lens in addition to a reduction in