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Crystalens AO insertion. Click here to view larger image.
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Following cataract surgery,
postoperative visual testing must be as "real world" as possible.
This means that you must check the individual's vision binocularly at distance and intermediate/near.
Then, you can measure each eye individually.
Be sure to use real world testing devices, such as a near point card that mimics a magazine page. To do this,
you can simply laminate a page from a magazine with various font sizes. Alternatively, you can purchase near
point cards from many companies, such as Precision Vision and Stereo Optical.
In early postoperative care, it is essential to focus on what the patient can read as opposed to what he or she
is unable to read. Also, when looking at a near or distance chart, have the patient begin at his or her best
preoperative vision level. For example, if the patient saw 20/80 prior to surgery, begin with that line and
remind him or her that that was the best they could see before the procedure. The same goes for near
vision—start with the line the patient could see prior to surgery (which was probably around J12),
and they will appreciate the comparison.
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