EyeWorld Asia-Pacific June 2018 issue

30 EWAP FEATURE June 2018 to monovision in a patient who doesn’t have astigmatism, Dr. Greenwood said. You want to make sure you nail the target outcome in the distance eye, and figure out where they want their near point to be. “In most patients, that’s somewhere between –1.25 and –2.25, depending on what they like to do and what their previous his- tory with monovision has been,” he said. Dr. Swan said that if the patient hasn’t had monovision before, he’s hesitant to do it. He’s more likely to use an extended depth of focus or multifocal IOL in those who haven’t already tried monovision. Additional points Dr. Greenwood said that as a glaucoma and cornea surgeon, he thinks that toric IOLs are great op- tions for patients with glaucoma or other eye diseases to reduce their astigmatism and still give them good quality outcomes with the monofocal toric. “Toric IOLs are an excellent premium lens option for surgeons,” Dr. Woodard said, and can be particularly good in some cases for surgeons who might be hesitant to enter the premium lens arena. These lenses are usually well toler- ated and stable within the eye, he said. Dr. Swan mentioned the value of the astigmatismfix.com website. “If you put a toric in and don’t get the result you expect, you can look at it to see what you can do with that information,” he said. The website has all current toric models and their corneal plane power for all the major U.S. manufacturers, he added. EWAP Editors’ note: Dr. Greenwood, Dr. Woodard, and Dr. Holland have financial interests with Alcon. Dr. Swan has no financial interests related to his comments. Contact information: Greenwood: michael.greenwood@vancethom psonvision.com Holland: eholland@holprovision.com Swan: russell.swan@vancethompsonvision.com Woodard: lwoodard@omnieyeatlanta.com Using toric – from page 29