From the American Academy of Ophthalmology

This study reviews seven cases in which either the wrong IOL was implanted or there was a “near miss.” The authors write that the pathways to wrong IOL implantation reflect a combination of poor surgical team communication, transcription error, lack of preoperative clarity in surgical planning, or failure to match the patient and IOL calculation sheet with two unique identifiers. They conclude that IOL surgery safety is enhanced by strict procedures, such as an IOL-specific “time-out,” and a culture that encourages all surgical team members to voice concerns. Ophthalmology, October 2012