We know that with posterior polar cataracts, there is a congenital weakness in the posterior capsule at the site of the opacity. This makes the surgery very high risk according to published studies that show a 30% risk of posterior capsule rupture. With newer methods, we can reduce this risk about 10 fold to about 3%. But what if the patient has pre-existing corneal astigmatism and requires a toric IOL? Can we insert a toric IOL into an eye like this? Yes, we can, but it is not easy.
Click below to learn how to successfully use a toric IOL in posterior polar cataract surgery: