Cataract surgery is designed to correct the cataract. Refractive cataract surgery is to correct the cataract and also the refractive error at the same time, thereby decreasing the dependence on glasses/spectacles and optimizing the visual acuity. An important part of the refractive surgery is addressing the astigmatism and these four videos highlight that topic. In general, for 1 diopter and above of astigmatism, a toric IOL tends to be my first choice. Whereas at 0.75 D of less of astigmatism, an incisional approach is usually my favored approach.
Toric IOLs can be more challenging with smaller pupil cases because the iris can block your view of the toric alignment marks. This video shows how to overcome that.
Professor Uday Devgan MD is a Los Angeles Cataract Surgeon who authors CataractCoach.com to teach the best techniques of Cataract Surgery to Eye Surgeons from around the world.
View all posts by Uday Devgan MD
