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As cataract surgery has evolved over 50 years, there have been changes in the current clinical ophthalmic practice to improve safety and efficacy in order to achieve perfect postoperative outcomes. Since the 1990s, technological advances such as ocular biometry, phacoemulsification, and intraocular lens (IOL) formulas, as well as many others, have undergone numerous incremental upgrades aiming to produce predictable and reproducible quality results. However, the financial burden of adopting all these proven yet costly technologies in ophthalmological practice, especially in rural areas, has to be justified. In this issue, an epidemiological study on ocular biometrics conducted by the Ministry of Health at the Kuala Pilah Cluster Program has shed some light on a possible strategy to incorporate advanced tools and technology into our public service.