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Achieving 20/20 Vision by Piggybacking Toric & Spherical IOLs

April 12, 2011

Christine was in my office today 1 week after her cataract surgery on her second eye.  She is already seeing 20/20 without glasses!  What makes this story unique is that she was an extremely nearsighted and astigmatic patient with cataracts.  Before surgery she had a correction of -18 myopia and -2 of astigmatism.  Her best corrected vision was a blurry 20/50.

After discussing cataract surgery, we decided that Christine’s best chance of excellent vision was with a Toric IOL.  There was only 1 problem, because of the amount of nearsightedness she had there was no Toric IOL in her power.  The surgical plan I came up with was to piggy back to implants, one toric (to correct her astigmatism and most of her nearsightedness) and the other spherical (to correct the residual nearsightedness.

The results were better than expected, 20/20 vision 1 week after surgery!  Christine was kind enough to both donate her old glasses today and to discuss her results with me.

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