In the era of advanced technology in managing patients with cataracts, yet a number of patients remain unhappy. We daily face unsatisfied patients despite having 20/20 vision.

Many of the ocular symptoms are in the form of ocular irritation, stinging, and blurred vision. Unrecognized dry eye could be a major contributor to these symptoms.

Although cataract surgery is an intraocular surgery, it causes microscopic ocular surface damage that could worsen the preexisting ocular surface disease or leads to dry eye.

The aim of this article is to emphasis on the importance of assessing the state of ocular surface both subjectively and objectively and treat any critical issue before and after surgery to have a satisfied patient postoperatively.