2026 ASCRS Annual Meeting

About this Session

Session Moderators: Rahul S Tonk, MD, MBA; Kathryn M. Hatch, MD, ABO 

Serving as the capstone to the "Closing the Gap" webinar series, this symposium provides a comprehensive playbook for managing enhancements after both lenticular and keratorefractive procedures. In an era of high patient expectations, our expert panel will review the complete diagnostic workflow used to identify the source of dissatisfaction and establish clear criteria for intervention. Using a case-based approach, this session will dive deep into the definitive decision-making for choosing the right tool—from LVC and IOL exchanges to non-surgical optimization—to manage refractive surprises and achieve optimal visual outcomes. 

Presentations in this Session

• Survey Data: Surgeon Perceptions on Enhancements
  Kathryn M. Hatch, MD, ABO
• Defining the "Miss": Subjective Vs. Objective Criteria
  Daniel H. Chang, MD, ABO
• The Diagnostic Workflow: When (and When Not) to Enhance
  Rahul S Tonk, MD, MBA
• Choosing the Right Tool: Lvc Vs. IOL Exchange Vs. Piggyback
  Barrett Eubanks, MD, MBA, ABO
• The Postop Management Flow Chart
  Daniel H. Chang, MD, ABO
• Case: Management of Poor Vision after Edof
  Kathryn M. Hatch, MD, ABO
• Case: Residual Refractive Error after Multifocal IOL
  Marcony R. Santhiago, MD, PhD
• Excimer Enhancement for Residual Error: When & How
  Marcony R. Santhiago, MD, PhD
• Enhancements In Symptomatic Patients with Irregular Corneas
  Pooja Khamar, MD, PhD
• Excimer Laser Following Phakic IOLs (High Myopia)
  Roger Zaldivar, MD, MBA, MSc
• Excimer Laser Enhancement after Klex (Lenticular Extraction)
  Kathryn M. Hatch, MD, ABO