Pearls for Getting Started with Intraoperative Aberrometry

An intraoperative aberrometer can provide additional data for surgeons and lead to better outcomes in patients who are undergoing IOL implantation. In this interview from AAO 2017, Dr. Nicole Fram offers tips for surgeons who want to start using the intraoperative aberrometry device, ORA (WaveTec). She suggests that new users should first establish confidence and obtain familiarity with the device without changing lenses. Next, Dr. Fram suggests striving for reproducible aphakic refractions. Dr. Fram finds that ORA is particularly useful for post-myopic or hyperopic LASIK eyes and for long eyes. Surgeons should be cautious about using ORA in radial keratotomy eyes, however, due to highly irregular corneas. 

Relevant Financial Disclosures: Dr. Fram is a consultant for Zeiss.