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    Aspiring for zero tolerance of residual astigmatism

    Case examples highlight tools, techniques toward quest for excellent visual endpoint


    Figure 8 shows how even patients who underwent corneal transplantations decades ago can undergo a procedure to successfully correct their astigmatism using a laser ASA technique. They also can receive toric IOL implants and achieve very successful outcomes and refractive stability.

    Figure 9 shows the case of a ship’s captain who required superior vision in his only seeing eye.

    The functioning eye had severe asteroid hyalosis and high astigmatism. I performed a cataract surgery with implantation of a toric IOL, with high confidence that the patient would achieve unaided 20/20 vision and continue his visually demanding lifestyle.

    Arun C. Gulani, MD
    Dr. Gulani is director of refractive surgery and chief, cornea & external disease, as well as assistant professor, department of ...

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