Retrospective Analysis Of Residual Astigmatism After Implanting 200 Eyes With Acrysof Toric Implant. Basic Pre Operative Workup In Opd Without Pentacam For Analysis Of Topography Or Image Guided Cataract Surgery

Assessment of the refractive results of implantation of 200 Toric IOL s in a centre with basic equipment. The role of clinical assessment and a surgeons judgement and skills to help choose a TORIC IOL for a patient to reduce astigmatism in the course of cataract surgery . Importance of pentagram topography and image guided cataract surgery ( absolute or relative?) 

Retrospective analysis,single surgeon,single centre. 200 eyes were analysed, pre perative astigmatism and it's reduction post Toric implantation 

The eye department has basic equipment for pre operative work up without corneal topography and image guided surgery.

Careful counselling, cross correlation between previous prescriptions and spectacles worn , assessment of the desire to be spectacle independent for distance, spending adequate chair time   under promise and over deliver 

200 eyes were documented, demography, preop Keratometry, best suited Toric IOL selected. Phaco emulsification was performed and results were analysed in routine surgical cases with no per operative complications. Degree of spectacle independence for distance and reduction of astigmatism was recorded 

Out of 200 eyes , the number of eyes implanted with Toric IOL's T3-T9 were documented.contraindications for Toric implant. 
Overall reduction of astigmatism and degree of satisfaction from spectacle independence for distance recorded. 

Corneal topography , assesment of posterior corneal astigmatism ,image guided cataract surgery to do away with ink markings on the cornea are desirable but not mandatory.

Good surgical skills and pre operative counselling and assessment by clinical experience of patient expectations and suitability for Toric IOL is the key for a good outcome.