This patient has a dense, white cataract with a pre-op vision of just Counting Fingers at 1 meter (CF at … More
Category: Astigmatism
Review: 3 Rules for Making Phaco Incisions
Over the last two decades, cataract surgery has evolved from scleral incisions to corneal incisions, from retrobulbar anesthesia to topical … More
Review: Phaco Incision paired with LRI for Astigmatism Correction
We know that the phaco incision will cause some degree of corneal flattening and this has the ability to alter … More
We must Align and Center a Toric Diffractive IOL
With new technology IOLs, we have the ability to address corneal astigmatism as well as provide a wide range of … More
Left-Handed versus Right-Handed with Phaco Incisions
It can be helpful to place our phaco incisions on the steep axis of cornea astigmatism in order to provide … More
Never make your phaco incision like this!
In this anonymous video we have a phaco incision that is very poorly made. The placement is too far from … More
Quiz: Should you implant a Toric IOL in this eye?
The patient is 70 years old and the corneal scar of the left eye is about 80% depth within the … More
This is why I do LRIs at the end of the case
Limbal relaxing incisions (LRIs) are useful for treating mild to moderate degrees of corneal astigmatism at the time of cataract … More
Match the Phaco Incision to the Limbal Relaxing Incision
We know that the phaco incision will cause some degree of corneal flattening and this has the ability to alter … More
Complete Toric IOL Case: from Marking to Alignment
Toric IOLs allow us to surgically treat corneal astigmatism at the time of cataract surgery thereby providing our patients with … More
Shifting the Phaco Incision to treat Astigmatism
Our phaco incisions always have some degree of astigmatic effect by causing relaxation of the corneal curvature at that axis. … More
One-Chop Technique for Phaco Surgery
For a cataract with moderate nuclear density, splitting the nucleus into two halves can be sufficient for removal with phacoemulsification. … More
The Patient Refuses Refractive Correction!
This 75 year old patient needs cataract surgery because her best corrected vision is 20/50 and it is becoming increasingly … More
Some Simple Ophthalmology Mathematics
Ophthalmology has a large degree of math, particularly when it comes to refractive surgery. Our most commonly performed and most … More
Surgically Treating Residual Astigmatism
Which do you choose: Limbal Relaxing Incision (LRI) or Laser Vision Correction (LVC) for treatment of residual astigmatism after cataract … More
Routine Toric Case with Surgeon-Loaded IOL
Again, time to learn from a routine case — this is the type of case that is your “bread … More
Basics of Limbal Relaxing Incisions (LRIs)
Every incision that is made in the cornea has an effect on its shape and therefore the astigmatism. For a … More
Temporal vs Superior Phaco Incisions
[Click link below for full video] Some surgeons prefer to make a superior phaco incision while others prefer a temporal … More
Cataract Surgery in Keratoconus
Patients with keratoconus, like all patients, eventually develop cataracts. However, cataract surgery in these keratocomic eyes is not the same … More
Choosing Refractive Targets to maximize Depth of Field
From this photo it is obvious that the aperture size of a camera makes a large difference in the depth … More
Complex Cataract: multiple challenging issues
This patient had a large rhegmatogenous retinal detachment repaired a few years ago with a successful pars plana vitrectomy. The … More
Another Corneal Laceration with Traumatic Cataract
Another patient presented to our resident ophthalmology clinic with a 1 day history of doing construction work on a roof … More
Femto Laser Incisions: Good or Bad?
The femtosecond laser is a powerful tool for ophthalmic surgery. While its use in creating corneal refractive surgery is widely … More
Alignment and Centration of Toric Multi-Focal IOLs
[From CataractCoach.com] New technology has given us the ability to address corneal astigmatism and presbyopia with a toric multi-focal IOL. … More
Plano may not be best refractive outcome for every patient
Some patients may benefit from a small degree of residual hyperopia, myopia or astigmatism. There is a pride that we … More
Phaco Incisions can improve or worsen Astigmatism
Astigmatic Effect from Phaco Incision Placement Many patients desire a refractive correction at the same time as cataract surgery. … More
3 Rules for making Phaco Incisions
A well-constructed corneal/limbal phaco incision will improve your cataract surgery technique and provide better results for your patient. (scroll down … More
On-Axis Paired Incisions for Astigmatism
Don’t have a toric IOL? Try this technique to help address astigmatism at the time of cataract surgery.
Phaco Flip and Chop Technique
The phaco flip technique is when the nucleus is prolapsed out of the capsular bag and then emulsified at the … More