Dr. Devgan discusses the future of refractive and cataract practice in a conversation with refractive editor Dr. David Goldman. The boundary between "refractive" and "cataract" surgery is growing smaller, becoming part of a continuum of a comprehensive refractive surgery practice. LASIK patients will eventually become presbyopic patients, and cataract patients are expecting LASIK-like outcomes. Therefore, Dr. Devgan believes in offering a full spectrum of refractive surgery using a variety of techniques. PRK, corneal inlays, phakic IOLs (in front or behind the iris), RLE, accommodating lenses, multi-focal lenses. Patients then know that you've offered them the appropriate treatment, not simply the one you know how to do. Surgical pearls in combined procedures are discussed at length. Age and refractive error allow him to gauge generally what the options are for a patient. From that point, discussing outcomes expectations with the patient is key. Dr. Devgan then discusses resident education at UCLA and his involvement in ensuring the highest quality educational opportunities are afforded.