Had a pt. come in this morning, just had cataract sx in OS and wanted me to pop her old lens out and just leave it like that. I told her, what we usually do is replace it with a plano poly. Well she got all bent out of shape and said i just wanted to sell her something. I ended up not "just" popping her lens out and explained to her that i take my patients care very seriously and would not feel like i was giving her adequate care by letting her run around with glasses that fully expose her sx eye to potential damage by sand, dust, rocks or anything unexpected, and ultimately i would be responsible!

What do you think?