Management of astigmatism during intraocular lens surgery

18 August 2015
Volume 16, Issue 3

This paper aims to provide an overview of astigmatic considerations in cataract surgery.


Cataract surgery has evolved from a procedure where the objective was solely to remove an obstruction to the visual axis. The surgical procedure has gone through a number of advances from extracapsular extraction of the whole lens nucleus through a large incision requiring sutures, to the use of an ultrasound probe to break up, emulsify and remove lens fragments through small sutureless incisions. More recently, femtosecond laser technology has been applied to cataract surgery. Such advances, combined with developments in intraocular lenses and intraoperative tools to optimise their placement, have led to a high degree of safety and predictability for patients undergoing cataract surgery (Jaycock et al. 2009; Lundstrom et al. 2013).

Sign in to continue

Forgotten password?

Sign in to view the article

Not a member? Start enjoying the benefits of College membership today. Take a look at what the College can offer you and view our membership categories and rates.

Related further reading

We provide advice on protecting the public's vision and eye health this summer. Scroll down for graphics you can use to help share our message.

Maajid is a locum who's taken on a new role at a practice where a vital piece of equipment is not working and will not be replaced for several months. What should he do?

An elderly patient misunderstands your advice and her worried sister has phoned you. Should you explain the situation to her?