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.
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