What decision support should surface
Patient goals
Driving, night driving, computer work, reading, hobbies, desire for glasses independence, tolerance for halos, and willingness for follow-up visits.
Ocular risk
Irregular cornea, high HOA, ocular surface disease, glaucoma, macular disease, post-LASIK/PRK/RK status, and biometry repeatability.
Optical tradeoffs
Expected distance, intermediate, and near profile; dysphotopsia risk; contrast expectations; residual spectacle dependence; and enhancement possibility.
Documentation
Why the pathway fits, what was discussed, what requires verification, and which assumptions the surgeon accepted before surgery.
Lens pathways to compare
| Pathway | Best fit | Counseling emphasis |
|---|---|---|
| Monofocal / monofocal-plus | Quality-first patients, night drivers, lower tolerance for optical symptoms | Target distance, glasses expectations, astigmatism plan |
| Toric | Meaningful regular astigmatism with reliable axis measurements | Axis confidence, residual cylinder, rotation risk |
| EDOF | Distance/intermediate priority, computer use, moderate desire for range | Near limitations, glare/halo possibility, contrast expectations |
| Multifocal / trifocal | High desire for range and glasses independence with healthy optics | Dysphotopsia, neuroadaptation, corneal/retinal screening |
| Adjustable IOL | Patients who can return for postoperative refinement and comply with instructions | Visit burden, UV compliance, adjustment and lock-in sequence |
How PrecisionIOL should be framed
The product should not say "the best IOL is X." A safer, more clinically useful output is: "this pathway is being surfaced because these measurements, history, goals, and workflow constraints fit; these are the tradeoffs; these are the verification steps before final planning."
That explanation layer is the differentiator. Manufacturer tools can be excellent inside their ecosystems. PrecisionIOL can compete as the vendor-neutral layer that helps a surgeon unify inputs, counseling, preference, and documentation.
Use decision support inside the planner
Review lens fit, warnings, lifestyle scoring, and patient-facing counseling from the same case workflow.
Open IOL Planner