September 9, 2026 · Journal of cataract and refractive surgery · DOI: 10.1097/j.jcrs.0000000000002059

Combining Small Aperture Approach and Toric Correction for Irregular Astigmatism Management

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The authors investigate whether a hybrid intraocular lens (IOL) design that combines small-aperture and toric elements can effectively manage irregular astigmatism in cataract surgery, which is challenging due to complex geometries and higher-order aberrations. Their experimental study reveals that this combined IOL significantly improves optical performance compared to traditional toric or small-aperture IOLs alone, suggesting that such a hybrid approach could enhance visual outcomes in patients with complex corneal profiles.

Hyeck-Soo Son, Asu Rayamajhi, Ava Niknahad, Ramin Khoramnia, Gerd U Auffarth, Victor A Augustin, Maximilian Friedrich, Grzegorz Łabuz

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