FALL 2025 | EYEWORLD | 57
C
be hard to find on some instruments. It's always
there, but it's not always easy to find, and some-
times it requires calling the company to find
out where it is, he said, adding that he wants to
make physicians more aware of how to find this
value on their own.
Conventionally, there have been two ways
that irregular astigmatism could be treated, Dr.
Parker said. The first way is with a hard contact
lens, which vaults up above the surface of the
eye and gives the eye a new shape. However,
the problem with this is patients don't generally
want to wear these lenses all day. "It's unpleas-
ant at best and impossible for many people," he
continued on page 58
Top left: Preop vision 6/60, INTACS with cataract, corneal scarring, and vascularization; high astigmatism and HOA
Bottom left: Intraop, Purkinje image P1 in the center of the pupil
Top right: Intraop, microscope light switched off, visualization with endoillumination
Bottom right: Day 1 postop for a pinhole pupilloplasty, vision 6/9 N6
Source: Amar Agarwal, MD
