Correcting Astigmatism with Toric IOLs By William Goldstein on March 27, 2017

After a cataract surgery not only does the patient want clear vision but also may wish to be free of glasses. The portion of patients with 1.0 diopter (D) of astigmatism, which can affect clear vision, is 33 percent. Astigmatism of this level causes blurred vision and correction of the same requires glasses if surgery is not used.

Laser cataract surgery in the past was incapable of correcting astigmatism owing to the type of lens used. A few types of astigmatism, however, could be corrected if, during cataract surgery, the surgeon made an incision in the cornea. Such an incision is called Limbal relaxing incision (LRI). The application of LRI is highly limited making such procedures available only for a selected group of patients. To overcome this limitation, a special ocular lens called a toric IOL was created.

A Word on Astigmatism

Astigmatism is defined as a variant of the common blurred vision in a heathy eye. This disorder can be easily corrected through glasses. Unlike, nearsightedness, astigmatism manifests as a result of improper optical shape of the cornea. When the cornea is oblong instead of spherical, the focal point is altered causing blurred vision. Astigmatism isindependent of cataract surgery. But, the condition can be successfully corrected during laser cataract surgery. Before the cataract surgery, a special diagnostic technology called corneal topography maps the natural contour of the cornea. Based on this map, any unevenness in the natural shape is corrected using a specific type of toric lens

Astigmatism Correction through Toric Lens Implant

In terms of surgery procedure, laser cataract surgery with regular IOL and toric IOL is the same. The difference lies in the lens function. Patients who prefer toric IOL go in for a consultation for lens measurement. This helps the surgeon choose the right power and orientation of the implant. There are special markers on toric lenses along the periphery which helps the surgeon gauge the orientation of these corrective lenses. After implanting toric IOL into the eye, they are rotated to reach the perfect alignment.

Research on Toric IOLs

Effectiveness of Toric lens implants in the correction of astigmatism has been validated by extensive research. Studies have shown that implantation of toric lens improves vision significantly. When compared to traditional methods of astigmatism correction, toric implants show a higher rate of effectiveness. Patients who have opted for toric implants are satisfied with the results, especially improved clarity of vision at night.

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Dr. William S. Goldstein

Laser Eye Care Center

William S. Goldstein, MD, has been practicing laser eye surgery since 1991. He was one of the first doctors to offer advanced eye care in all of Michigan and is a member of several prestigious organizations: 

  • American Board of Ophthalmology
  • American Academy of Ophthalmology
  • American Society of Cataract and Refractive Surgeons

If you are ready to enhance your vision, call our office at (586) 323-2020 or request a consultation online.

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