EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.
Issue link: https://digital.eyeworld.org/i/1109716
16 | EYEWORLD | MAY 2019 ASCRS NEWS by Brett Gudgel, MD, Valerie Lobodiak, MD, Alice Kim, MD, Finny John, MD, Douglas Jin, MD, Shehzad Batliwala, MD, Gerta Mane, MD, Dean McGee Eye Institute residents, David Jackson, MD, faculty preceptor multiple options exist for astigmatic correction at the time of cataract surgery including corneal astigmatic incisions and toric intraocular lenses. There are also many variables that affect the accuracy of astigmatic correction, including the method used to measure astigmatism, incision location, lens selection and alignment, and the method of surgical guidance/correction. Ideal case selection is critical in the preoperative phase in order to ensure patient satisfaction and optimal outcomes. In their recent article, Solomon et al. set out to analyze multiple variables involved in astigmatism correction to help provide insight into the best techniques and treatments. Specif- ically, they designed a randomized, contralateral eye study aimed at comparing postoperative results with toric intraocular lenses and corneal astigmatic incisions (CAI) planned with image guidance utilizing intraoperative aberrometry O utcomes in cataract surgery con- tinue to improve and patient expectations continue to increase. An abundance of evolving technol- ogy and surgical techniques allow today's cataract surgeon to optimize and improve surgical outcomes. However, cataract surgeons must be thoughtful when considering new technology, as not every new innovation translates to improved patient outcome. As these technologies increase in number, ongoing research attempts to quantify the actual benefit these technologies have on patient care. Alongside advancements in cataract sur- gical technique have been improvements in intraocular lens technology that aim to correct both spherical and astigmatic errors. Residu- al astigmatism is an important cause for not achieving postoperative emmetropia. Currently EYEWORLD JOURNAL CLUB Review of "Correcting astigmatism at comparing results with toric relaxing incisions planned with an intraoperative aberrometer versus Dean McGee Eye Institute residents, from left: Alice Kim, MD, Gerta Mane, MD, Douglas Jin, MD, Finny John, MD, Brett Gudgel, MD, Shehzad Batliwala, MD, and Valerie Lobodiak, MD Source: Dean McGee Eye Institute R. Michael Siatkowski, MD Residency program director Dean McGee Eye Institute Do the outcomes justify the expense of using intraoperative aberrometry and digital guidance for toric IOLs? I invited the Dean McGee residents to review this study in the current JCRS edition. —David F. Chang, MD, EyeWorld Journal Club Editor