Uday Devgan, MD, FACS, FRCS, speaks with Christopher E. Starr, MD, FACS, and Brian Shafer, MD, in two short segments drawn from CRST's October cover focus, "Refractive Cataract Roundtables." Dr. Starr reviews a practical approach to preoperative ocular surface optimization—key exam steps, stop-rules before biometry, and simple readiness markers. Dr. Shafer outlines his IOL decision framework, balancing spectacle independence and image quality, who is not a candidate for diffractive optics, and options for residual refractive error. Related perspectives appear in the October issue of CRST.