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by the procedure, Dr. Zaldivar said, could make it more
resistant to tearing.
Iris registration-guided femtosecond
laser-assisted capsular markings to
guide toric IOL alignment during
cataract surgery
Denise Visco, MD
"What I found interesting in this presentation is that it
might truly optimize time and flow while improving clin-
ical results," Dr. Zaldivar said. LENSAR has developed a
novel technique for precise toric IOL alignment. This nov-
el technique consists of creating a pair of small pointers or
marks on the capsular rim (IntelliAxis-Refractive Capsulor-
hexis) as part of the standard laser capsulotomy procedure.
The study included 60 eyes that underwent FLACS
with iris registration-guided capsular markings on the cap-
sular rim (IntelliAxis Refractive Capsulorhexis, LENSAR).
Results were pretty impressive: Mean Residual Refractive
Astigmatism was 0.15 D (mean preop corneal astigma-
tism was 2.11 D). Astigmatism decreased significantly
postoperatively (p < 0.001). Fifty-six percent of eyes had
no residual astigmatism and 98% had less than 0.5 D, Dr.
Zaldivar noted.
Pinhole implantation after
posterior capsule opening
Bruno Cancado Trindade, MD, Fernando Cancado Trindade, MD,
and Claudio Cancado Trindade, MD
Dr. Zaldivar said he wanted to share this paper because
he was impressed by the versatility of the technology. The
patient's vision was 20/800 J7. After removing the nucleus,
the surgeon realized there was a hole in the posterior cap-
sule. The pinhole IOL (IC-8, AcuFocus) is sulcus placed,
so it was used in this case. At 1 week postop, the patient
was 20/25 J3.
Dr. Zaldivar posed the question of whether the IC-8 is
the new kid on the block because "we have so many aber-
rated corneas. There are so many post-LASIK."
Editors' note: The session is available on demand at ascrs.org/
clinical-education/2019ondemand for those who attended the 2019
ASCRS ASOA Annual Meeting.
