Which IOL do you prefer for patients with a history of hyperopic LASIK to minimize the risk of inducing spherical aberration?  

I prefer an IOL without any induced spherical aberration, such as the enVista monofocal, in my post-hyperopic LASIK patients. Other standard monofocal lenses (such as clareon monofocal, J&J monofocal, etc.) have a built-in negative spherical aberration that is intended to offset the standard pos...

I would check the spherical aberration value on a topographer (i.e., NIDEK) or tomographer (i.e., Pentacam) to know exactly how much the hyperopic LASIK has influenced the cornea. That value can then better inform my IOL choice, rather than assuming that all hyperopic LASIK produces a negative SA co...

I like to use a monofocal lens with a “softer” landing zone, like Eyehance. With the inherent increased risk of a refractive surprise in post-refractive surgery corneas, I have found that these lenses are more forgiving. I usually operate the non-dominant eye first; that way, any adjustm...

I would measure the spherical operation I'm using, the IOL that was out of the opposite spherical aberration (SA).