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Glaucoma Case Files

Surgical Insights and Real Cases From the OR

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Refractive Considerations in a Glaucomatous Eye

John P. Berdahl, MD; Natalia Morales, MD; and Justin Schweitzer, OD, FAAO

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John P. Berdahl, MD; Natalia Morales, MD; and Justin Schweitzer, OD, FAAO, discuss the case of a 78-year-old patient with visually significant cataracts, elevated IOP, minimal visual field loss, and a desire for spectacle independence. The panelists weigh in on whether a multifocal IOL would be advisable in this case and comment on the importance of setting appropriate expectations and maintaining follow-up care. They also discuss the potential role of sustained drug delivery and how insurance coverage is restricting clinical decision-making.

Posted: 7/20/2026

Keywords:

Glaucoma

•

PanOptix

•

iStent infinite

•

LCD

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Refractive Considerations in a Glaucomatous Eye

John P. Berdahl, MD; Natalia Morales, MD; and Justin Schweitzer, OD, FAAO

John P. Berdahl, MD; Natalia Morales, MD; and Justin Schweitzer, OD, FAAO, discuss the case of a 78-year-old patient with visually significant cataracts, elevated IOP, minimal visual field loss, and a desire for spectacle independence. The panelists weigh in on whether a multifocal IOL would be advisable in this case and comment on the importance of setting appropriate expectations and maintaining follow-up care. They also discuss the potential role of sustained drug delivery and how insurance coverage is restricting clinical decision-making.

Posted: 7/20/2026

Keywords:

Glaucoma

•

PanOptix

•

iStent infinite

•

LCD

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