Doing refractive cataract surgery is becoming the norm with patients desiring correction of refractive errors at the same time as phacoemulsification. The idea of using paired phaco incisions was described many decades ago at around the same time that astigmatic keratotomy was pioneered by Dr Robert Osher. Our guest surgeon makes the additional, opposite phaco incision at the end of cataract surgery with the IOL already in the capsular bag and the IA probe used for additional infusion pressure to firm up the globe. If you would like to learn from our guidelines and nomogram for this, you can find that link here: https://cataractcoach.com/2019/10/11/paired-phaco-incisions-to-treat-astigmatism/ otherwise, just enjoy today’s video.
