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The presence of any pathology that causes a loss of reception or transmission of light will cause advanced technology lenses to fail catastrophically, resulting in a suboptimal visual outcome. [...]it becomes imperative, particularly in the premium channel, that we obtain high-resolution retinal images using OCT to reveal changes not visible using an indirect lens at the slit lamp. According to CMS payment guidelines, screening OCTs are not reimbursed unless a qualifying medical diagnosis is found. A recent analysis sought to determine the cost-effectiveness of OCT in the preoperative evaluation of a base patient considering cataract surgery with a multifocal IOL.