Toric IOLs require complex clinical judgment, proficient use of technologies

TOKYO — Toric IOLs are gaining wide acceptance, but they require careful evaluation and complex clinical judgment, according to one surgeon. An increasing number of patients want to be spectacle-free, and 30% have significant astigmatism, Richard B. Packard, MD, said at the World Ophthalmology Congress. “If you are planning to fit a multifocal toric lens, you know that an error of just half a diopter will degrade the image,” he said. Also, astigmatism can now be effectively addressed with toric lenses in patients with keratoconus and those who had keratoplasty.

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