In this presentation from AAO 2016, Douglas D. Koch, MD, discusses his top-5 pearls in managing complicated cataract cases.

• Regression approaches, based on averages from a series of patients, are maxed out.
• Direct measurement of total corneal power is making progress.
• Intraoperative aberrometry can be very helpful, but has limits.
• Postoperative adjustment has huge potential, but is pricey.
• Toric calculators don't work.