Step 1: Toric IOL
Patient Identification

A patient's preoperative visit is your first opportunity to educate them about advanced technology lens options and the benefits of toric IOLs. Understanding how to select ideal patients for toric lenses and learning tips for talking with your patients about treatment options will set up your toric procedures for patient satisfaction and surgical success.

Before I even pick up the chart, my attitude is that every patient may be a candidate for astigmatism reduction. Why? Because I’m a refractive cataract surgeon, and my goal is clear, uncorrected vision.”

Robert Osher, MD*
Professor of Ophthalmology,
University of Cincinnati

*Dr. Osher is a paid consultant for Alcon.

Astigmatic Cataract Patient Conversations

Once you have determined a patient is a candidate for a toric IOL through the preoperative exam, it’s important to explain what astigmatism is, set proper expectations and make your IOL recommendation.

Richard Tipperman, MD, demonstrates how to talk to cataract patients about their lens options.

Richard Tipperman, MD, demonstrates how to talk to cataract patients about their lens options

Richard Tipperman, MD, demonstrates how to talk to cataract patients about their lens options.

Dr. Tipperman is a paid consultant for Alcon.

Explain astigmatism
Most patients are aware they have astigmatism. However, the majority do not know what it is. A printout of the patient’s corneal topography can serve as a useful visual reference when discussing astigmatism and toric IOLs.

Discuss spectacle independence
Inform patients they have options for correcting their corneal astigmatism at the time of cataract surgery with a toric IOL. AcrySof® IQ Toric IOLs can offer the opportunity for excellent distance vision with less dependence on spectacles. The patient can enjoy the benefits of buying regular sunglasses and not having to hassle with wiping off his or her glasses on a rainy day.

Balance expectations
Be sure your patients understand that while an AcrySof® IQ Toric IOL can provide them with clear, crisp distance vision with a reduced need for glasses, they will still need “readers” for near vision tasks.

Make a recommendation
Patients look to their surgeon for guidance on which IOL to choose. If a patient has astigmatism of 0.75 D or greater and is otherwise a good toric candidate, it is important to recommend a toric lens, and explain how the lens will help achieve their visual goals. You can use the patient resources in the Resource Library to guide your conversations.

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View Important Product Information for
AcrySof® IQ Toric IOL+

ACRYSOF® IQ TORIC INTRAOCULAR LENSES IMPORTANT PRODUCT INFORMATION

CAUTION: Federal (USA) law restricts this device to the sale by or on the order of a physician.

INDICATIONS: The AcrySof® IQ Toric posterior chamber intraocular lenses are intended for primary implantation in the capsular bag of the eye for visual correction of aphakia and pre-existing corneal astigmatism secondary to removal of a cataractous lens in adult patients with or without presbyopia, who desire improved uncorrected distance vision, reduction of residual refractive cylinder and increased spectacle independence for distance vision.

WARNINGS/PRECAUTIONS: Careful preoperative evaluation and sound clinical judgment should be used by the surgeon to decide the risk/benefit ratio before implanting a lens in a patient with any of the conditions described in the Directions for Use labeling. Toric IOLs should not be implanted if the posterior capsule is ruptured, if the zonules are damaged, or if a primary posterior capsulotomy is planned. Rotation can reduce astigmatic correction; if necessary lens repositioning should occur as early as possible prior to lens encapsulation. All viscoelastics should be removed from both the anterior and posterior sides of the lens; residual viscoelastics may allow the lens to rotate.

Optical theory suggests that high astigmatic patients (i.e., > 2.5 D) may experience spatial distortions. Possible toric IOL related factors may include residual cylindrical error or axis misalignments. Prior to surgery, physicians should provide prospective patients with a copy of the Patient Information Brochure available from Alcon for this product informing them of possible risks and benefits associated with the AcrySof® IQ Toric Cylinder Power IOLs.

Studies have shown that color vision discrimination is not adversely affected in individuals with the AcrySof® Natural IOL and normal color vision. The effect on vision of the AcrySof® Natural IOL in subjects with hereditary color vision defects and acquired color vision defects secondary to ocular disease (e.g., glaucoma, diabetic retinopathy, chronic uveitis, and other retinal or optic nerve diseases) has not been studied. Do not resterilize; do not store over 45° C; use only sterile irrigating solutions such as BSS® or BSS PLUS® Sterile Intraocular Irrigating Solutions.

ATTENTION: Reference the Directions for Use labeling for a complete listing of indications, warnings and precautions.

Click here to view the AcrySof® IQ Toric IOL Directions for Use (DFU).

ACRYSOF® IQ TORIC INTRAOCULAR LENSES IMPORTANT PRODUCT INFORMATION

CAUTION: Federal (USA) law restricts this device to the sale by or on the order of a physician.

INDICATIONS: The AcrySof® IQ Toric posterior chamber intraocular lenses are intended for primary implantation in the capsular bag of the eye for visual correction of aphakia and pre-existing corneal astigmatism secondary to removal of a cataractous lens in adult patients with or without presbyopia, who desire improved uncorrected distance vision, reduction of residual refractive cylinder and increased spectacle independence for distance vision.

WARNINGS/PRECAUTIONS: Careful preoperative evaluation and sound clinical judgment should be used by the surgeon to decide the risk/benefit ratio before implanting a lens in a patient with any of the conditions described in the Directions for Use labeling. Toric IOLs should not be implanted if the posterior capsule is ruptured, if the zonules are damaged, or if a primary posterior capsulotomy is planned. Rotation can reduce astigmatic correction; if necessary lens repositioning should occur as early as possible prior to lens encapsulation. All viscoelastics should be removed from both the anterior and posterior sides of the lens; residual viscoelastics may allow the lens to rotate.

Optical theory suggests that high astigmatic patients (i.e., > 2.5 D) may experience spatial distortions. Possible toric IOL related factors may include residual cylindrical error or axis misalignments. Prior to surgery, physicians should provide prospective patients with a copy of the Patient Information Brochure available from Alcon for this product informing them of possible risks and benefits associated with the AcrySof® IQ Toric Cylinder Power IOLs.

Studies have shown that color vision discrimination is not adversely affected in individuals with the AcrySof® Natural IOL and normal color vision. The effect on vision of the AcrySof® Natural IOL in subjects with hereditary color vision defects and acquired color vision defects secondary to ocular disease (e.g., glaucoma, diabetic retinopathy, chronic uveitis, and other retinal or optic nerve diseases) has not been studied. Do not resterilize; do not store over 45° C; use only sterile irrigating solutions such as BSS® or BSS PLUS® Sterile Intraocular Irrigating Solutions.

ATTENTION: Reference the Directions for Use labeling for a complete listing of indications, warnings and precautions.

Click here to view the AcrySof® IQ Toric IOL Directions for Use (DFU).