P.R.I.S.M. LENS

IOL SELECTION DECISION SUPPORT · v0.3 (Financials link added)
Surgeon-facing IOL platform screening module — biometry, corneal astigmatism, ocular pathology, refractive surgical history, and patient lifestyle/personality profiling feed a candidacy screen across monofocal, toric, EDOF, multifocal/trifocal, and light adjustable lens platforms. Facilitates — does not replace — surgeon judgment.
Patient

Lifestyle & Personality Profile

patient-level · informs presbyopia-correction candidacy
Hobbies & Visual Demands
Reading / sustained near work Computer & screens Frequent night driving Golf / outdoor sports Crafts / needlework / detail hobbies Fishing / hunting Frequent travel Other
Personality & Tolerance Questionnaire
Right Eye — OD
IOLMaster / Optical Biometry
Auto Keratometry
Manifest Refraction SE:
Pentacam — Corneal Astigmatism & Regularity
Refractive Surgery History
None Prior RK Prior LASIK Prior PRK Prior RLE / clear lens exchange Other corneal surgery
⚠ Prior RK: keratometry and IOL power prediction are unreliable — expect diurnal refractive drift; diffractive multifocal not advised; consider intraoperative aberrometry, multiple formula averaging, and light adjustable lens.
Ocular Pathology — Retinal
None Epiretinal membrane AMD — dry AMD — wet Diabetic retinopathy Retinal detachment history Vitreomacular traction / other maculopathy
Ocular Pathology — Other
None Amblyopia — refractive Amblyopia — strabismic Glaucoma Pseudoexfoliation / zonular weakness Corneal dystrophy / irregular astigmatism Chronic severe dry eye Uveitis history
IOL Platform Candidacy — OD
Flags — OD
Left Eye — OS
IOLMaster / Optical Biometry
Auto Keratometry
Manifest Refraction SE:
Pentacam — Corneal Astigmatism & Regularity
Refractive Surgery History
None Prior RK Prior LASIK Prior PRK Prior RLE / clear lens exchange Other corneal surgery
⚠ Prior RK: keratometry and IOL power prediction are unreliable — expect diurnal refractive drift; diffractive multifocal not advised; consider intraoperative aberrometry, multiple formula averaging, and light adjustable lens.
Ocular Pathology — Retinal
None Epiretinal membrane AMD — dry AMD — wet Diabetic retinopathy Retinal detachment history Vitreomacular traction / other maculopathy
Ocular Pathology — Other
None Amblyopia — refractive Amblyopia — strabismic Glaucoma Pseudoexfoliation / zonular weakness Corneal dystrophy / irregular astigmatism Chronic severe dry eye Uveitis history
IOL Platform Candidacy — OS
Flags — OS
Top candidacy
ODawaiting inputs
OSawaiting inputs