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Subha's Ophthalmic Page
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search information related to IOL, biometry, corneal topography, etc.



This is why they say a 1 degree rotation of Toric IOL leads to 3.3% loss in toric correction
Have you ever wondered why they say that for every 1 degree of rotation, there is a loss of 3.3% in toric correction at the cornea plane? Why 3.3%, why not 2%, why not 4%. Where on earth does the 3.3 come from? Here is a breakdown of where the number comes from. Although there is some math involved, I will keep it simple and conceptual. To start with, in ophthalmology, 0 degree and 180 degrees are considered as the same meridian. Aligning the Toric IOL at 0 degrees in the eye
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Feb 273 min read


Understanding Toric IOL Power Distribution in Intraocular Lens Optics
Explains how the Toric IOL nomenclature works and how the IOL power is distributed in the IOL optics for a spherical equivalent IOL power of 10 diopters and a Toric model of T4 or T5
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Oct 22, 20251 min read


How to satisfy a patient who is having difficulty adjusting to astigmatism correcting glasses.
If a patient complains about his glass prescription and finds difficult to adjust to cylinder, how can you prescribe modify the prescription
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Apr 16, 20233 min read




Toric IOL surprise-the missing link
Why do some patients have more residual astigmatism after implantation of a Toric IOL which is seemingly unexplained
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Nov 15, 20217 min read


Eye & Astigmatism - Part IV
https://www.youtube.com/watch?v=6U2tr2Lgwdo&t=42s
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Jul 26, 20201 min read


Eye & Astigmatism - Part III
https://www.youtube.com/watch?v=7c9xTsMVJFE&t=690s https://www.youtube.com/watch?v=7c9xTsMVJFE&t=690s
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Jul 26, 20201 min read


Eye & Astigmatism - Part II
https://www.youtube.com/watch?v=1FUUCmq9lAQ&t=221s
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Jul 26, 20201 min read


Eye & Astigmatism - Part 1
The below video is part of a four video series explaining astigmatism and its correction with glasses and Toric IOLs....
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Jul 26, 20201 min read


A paradigm shift in astigmatic correction with TORIC IOLs - The concept of Total SIA by Dr Holladay
This decade has seen many new concepts cropping up with regard to the concept of astigmatic correction with TORIC IOLs. First, Douglas...
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Mar 8, 20193 min read


Thoughts on TORIC IOL for a fairly irregular Cornea
When can we choose a TORIC IOL for a fairly irregular cornea. It is critical to look into the central 3 to 4 mm zone of the cornea
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Jan 3, 20192 min read


What to do when your Keratometry readings are different from different Keratometers
When your different keratometry machines give different values of the corneal power of the same patient use the Barrett K calculator.
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Dec 6, 20182 min read


Centroid SIA calculation - ASCRS website
This article is in continuation to my write up in this blog ‘The Why & What of Centroid SIA involving astigmatism correction’. I would...
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Nov 28, 20182 min read


The ‘Why’ & ‘What’ of Centroid SIA involving astigmatic correction
As the art of correcting corneal astigmatism became popular with Toric IOLs, a predominant concept has been to provide incision on the...
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Nov 23, 20182 min read


Understanding astigmatism or cylinder and how it is corrected by prescription glasses
In this article, I will explain astigmatism and how it is corrected with glasses. To further reference you can also see my video explanations in the TORIC section (https://www.quickguide.org/post/eye-astigmatism-part-1) .To explain in a lucid way, we will talk in terms of corneal astigmatism or cylinder, and its correction with prescription glasses. Imagine you visit your doctor and he/she finds out that you have only astigmatism with no myopia or hypermetropia. In this case
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Oct 7, 20186 min read
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