Toric IOL alignment achieves higher levels of success

In the era of modern-day premium cataract surgery, I wonder how 1,386,254.5 D of astigmatism were left uncorrected last year, and that same trend remains this year. Warren Hill and others have repeatedly reported that between 70% and 90% of patients have treatable astigmatism, with the majority still untreated. So the question remains: Why are premium surgeons not treating more astigmatism at the time of cataract surgery? Is it inconsistent outcomes, are astigmatic incisions an art, is toric IOL alignment not precise, is it time-consuming intraoperatively and perioperatively, is it a lack of