Toric intraocular lens alignment without prior marking in the anaesthetised eye

This is such a simple but important publication that I am happy to share, However, you will need a subscription to read the full article.

We were initially hesitant to publish an article discussing how to accurately implant a toric IOL in an unmarked, anaesthetised eye, for fear that people may get the wrong impression that we supported not using pre-operative marking. However, there will always be scenarios where pre-operative marking is not performed, digital alignment systems fail, and surgeons are left with a patient on the operating table, an anaesthetised eye, and no reference mark to align a toric IOL.

In such a scenario, we suggest an alignment method using the superior corneal pannus as a guide. In our study, both an experienced surgeon and less experienced trainee surgeon achieved excellent accuracy using this method. Something to keep in mind the next time you run into this situation so that you can confidently implant a toric IOL.

Many thanks to my co-authors Michael Goggin, Katja Ullrich, and Laura Wolpert for bringing this concept to publication.

Read the full article here.