William Trattler, MD and Carlos Buznego, MD discuss presbyopic IOL technology in cataract surgery. Patient selection for these lenses involves assessing patient needs and conducting a variety of preop tests: super pinhole (potential acuity meter), corneal topography to rule out irregular astigmatism, macular OCT to rule out epiretinal membrane. Dr. Buznego has developed a mnemonic for his approach R-E-S-T-O-R: Retina (use NSAIDs to prevent cystoid macular edema), Emmetropia (hit the target), aStigmatism (look at pre and postop topography), Tears (dry eye is often a problem in variable vision), Opacified posterior capsule (lower the threshold for posterior YAG capsulotomy relative to traditional monofocal patients), Repeat (the fellow eye, these lenses often work best in a binocular fashion).