What strategies do you use to optimize cataract surgery outcomes in patients with anterior basement membrane dystrophy (ABMD)?

For the preoperative period, surface dryness should be well controlled; usually, artificial tears, punctal plugs, and Restasis are enough. Then, if the topography shows central irregular reading, I usually prefer to remove the epithelium and let it heal for a month before considering cataract surgery. PTK is an option if the irregularity persists. If you see large epithelial clumps in the visual axis, then I would also remove the epithelium. If the patient had multiple episodes of erosions or cl...

I discuss the chance of refractive surprise and strongly recommend an ocular resurfacing. And then repeat the calculations in 1-2 months.