more spherical. In the typical facility, 1% to 10% of patients receive these incisions. "We seem to perform many astigma-
tism procedures — limbal-relaxing incisions with or without toric lenses," says anesthesiologist Tod Tolan, MD, of Westside Surgery Center in Portland, Ore.
Presbyopic IOLs — designed to let patients see both near and far, like bifocals — are the second most popular premium service. Up to one of every 10 cataract patients ends up opting for these lenses.
Somewhat less popular, for the moment anyway, are intraoperative aberrometry and laser cataract surgery. The former is a technology that helps surgeons perfect the IOL power and astigmatism correction during the procedure. Just 31% of facilities offer intraoperative aberrometry,
and only 29% of facilities currently offer laser cataract surgery, which has only been on the market a couple of years.
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