Cataract and medical eye care MD in Suite 301 of the 3969 Fourth Avenue building, Michael Couris, MD handles cataract surgery consults, intraocular lens evaluations, and medical eye care for adult patients in 92103. Routine refractive comanagement and pre-surgical optometric workups cycle in from independent ODs in the neighborhood including Dr. Anne Lam. Suite 301 chair time covers slit-lamp biomicroscopy, intraocular pressure checks, dilated fundus exams, and OCT macular imaging used to stage cataract and retinal pathology. Post-operative cataract patients return for refractive endpoint checks and dispensing referrals to neighborhood ODs including Nora El Khatib. The most involved chair time goes to premium IOL planning for patients selecting toric or extended-depth-of-focus implants, combining biometry, keratometry, and astigmatism axis marking before surgery.