How do you approach cataract surgery in a patient with a history of radial keratotomy (RK) who desires postoperative independence from glasses?  

Carefully. I would say I'm abrupt and dispel the notion they will be spectacle independent at all, given they are not candidates for MTF lenses and, even EDoF lenses, would have issues of aberrations in the visual system caused by the RK incisions. I literally hang the "black drape." That sort of s...

If he is serious about glasses independence, he needs an LAL. Nothing else will give him the 99% odds of being glasses-free in the distance, and usually up close as well.Otherwise, assuming he is even a candidate, the standard disclaimers about refractive surprise with an MF or EMV lens. May need PR...