Wednesday, March 28, 2012

Cataracts, Astigmatism & Macular Pucker

Question: I have cataracts and a minor macular pucker and astigmatism. Which would be the best choice to correct these? LRI or a Toric IOL? Prescription: OD -2.00-2.00 x 80 20/50, OS-0.75-2.00 x 85 20/30.

Answer: Given that the reduction of vision is at least in part due to the Macular Pucker, in addition to the Cataracts, and if in fact your Cataract Surgeon qualifies you for having an astigmatism correcting Toric Lens Implant, then it would be fair game to use either Limbal Relaxing Incisions (LRI) or a Toric Lens Implant to correct your astigmatism after Cataract Surgery.  With a general preference for the optical quality, stability and no predisposition to cause dry eyes, leading the decision in favor of Toric Lens Implant, as compared to the LRI. Follow the recommendations of your Cataract Surgeon as he or she know your eyes the best.

Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery or Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.

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