Pearls for the High-Volume Cataract Surgeon: Advice from an Ophthalmic Technician

by Anne Dwyer, COMT
Eye Associates of New Mexico

Ophthalmic technicians can be an extremely important adjunct to a busy ophthalmologist’s profession. A key area where technicians can play a vital role is with a high volume cataract surgeon. A well-trained technician can help educate patients and double-check information to ensure a good surgical outcome.

This is especially critical for today’s cataract patients. Patient expectations have risen, and a dizzying array of new technology is available to optimize patients’ postoperative vision. In addition to the standard cataract procedure with a single-focus intraocular lens, patients are now being educated about multifocal intraocular lenses and aspheric-design IOLs. Toric IOLs and other astigmatism correcting measures, such as limbal relaxing incisions, are part of the decision-making process for both the physician and the patient. With this new technology comes more out-of-pocket expenses for the patient, and a thorough discussion of the potential benefits and drawbacks must be discussed.

Obviously, the primary education comes from the ophthalmologist, but having a technician well versed in every aspect of cataract surgery is critical. The technician can help answer additional questions the patient may have, and can help keep the physician informed of any concerns the patient may have, either preoperatively or postoperatively. A high-volume cataract surgeon may perform 50-100 surgeries per week, limiting his or her availability. Assigning a technician to field patient phone calls and emails helps assure patients that they are not disconnected from their surgeon. Technicians can also help double-check patients’ IOL calculation information, and alert physicians to any suspicious readings prior to surgery

It is imperative that technicians in this role have extensive knowledge of cataract surgery and ophthalmology in general. Technicians can augment their knowledge and skills by assisting in the preoperative consult, scrubbing in cataract surgery, assisting in the postoperative care. Technicians should also read about cataract surgery techniques and new technology. Attending national or regional ophthalmic meetings can also provide excellent information that will enhance technicians’ knowledge and help them in educating patients.

Higher patient expectations and an increased complexity of surgical options can be overwhelming for a busy cataract surgeon. Utilizing technician resources cannot only increase patient volume, but increase patient satisfaction as well.