85 year old with salzmann's is scheduled for cataract removal surgery. are there any concerns? should nodules be removed prior to surgery? scaring?

Salzmann's nodules: hyaline deposits between the epithelium and Bowmans membrane of Cornea causing astigmatism. Superficial keratectomy of astigmatism-inducing Salzmann’s nodules should always be performed prior to cataract surgery. Stable keratometry readings and IOL calculations cannot be reliably obtained until 3 to 6 weeks after surgery. Toric IOLs should be avoided because of the risk of recurrent nodule.

Salzmann's nodules: Agree with Dr. Sharma, nodules should be removed prior to cataract surgery if possible to achieve best vision. Patient would not be a candidate for a toric or multifocal IOL in most cases, depending on location & severity of Salzmann's nodules