I have so many radial keratotomy patients who are seeking cataract surgery, usually at least a couple every week (and as much as 6 in a day!) amounting to a lifetime experience of more than 1000 patients. I have learned many things along the way, and I’m happy to share that knowledge with you so that your patients will benefit. Even though I have never performed a single case of RK (radial keratotomy), I am very familiar with the specifics and details. By the time I finished medical school in 1996 (USC Keck School of Medicine) we already had access to the excimer laser for corneal ablation so radial keratotomy was no longer needed. In this RK patient I have elected to implant a toric monofocal IOL via a scleral tunnel incision. The video goes through the thinking behind this and the keys for evaluation at the pre-op consultation to determine if a toric IOL would be best. So many great pearls.