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MARCH 2020 | EYEWORLD | 61
them beforehand allows her to make adjust-
ments at the femtosecond laser, Dr. Donaldson
said, adding that this is one scenario where
ORA wouldn't help. Dr. Donaldson uses both
the LenSx (Alcon) and the Catalys (Johnson &
Johnson Vision) femtosecond lasers, marks the
patient sitting up beforehand, and uses rota-
tional alignment to make sure the AK incisions
continued on page 62
Automated vs. manual
axis marking
Dr. Donaldson said she still marks all of her
patients sitting up before starting her cases.
"Any patient I'm doing astigmatism correction
on, I still sit them up and mark them before-
hand," she said. "Many people don't do that,
but it makes me feel more confident." Marking
ORA IntelliAxis Refractive Capsulorhexis
CALLISTO VERION
Source: Nicole Fram, MD