Letter From the Editor: IOLs in Refractive Cataract Surgery

Whether lens exchange or cataract removal, we are performing a refractive procedure by changing the patient’s vision.

By: Audrey Talley-Rostov, MD

Ophthalmology Management May 1, 2026 Vol 30, Issue The Ophthalmic ASC May 2026 Page(s): 1

1

Cataract surgery is fundamentally a refractive procedure aimed at optimizing patients' vision and reducing reliance on corrective lenses.
2

Surgeons should offer diverse options for vision correction, including astigmatism correction and advanced IOL technologies like EDOF and trifocal lenses.
3

The enVista toric IOLs are beneficial for patients with corneal pathology due to their aberration-neutral platform and lower power astigmatic correction.
4

Effective inventory management of IOLs in an ASC is crucial, requiring collaboration with manufacturers to ensure a variety of lenses are available.
5

Surgeons should prepare for each surgery with a primary IOL, a backup, and an alternate option to address potential complications during insertion.

1