Cataracts and Toric Lens Implants for Patients with Astigmatism

The astigmatism lens implant used in cataract surgery is called a toric lens. In this video, Dr. Tokuhara reviews astigmatism and how it relates to cataract surgery for patients with the toric lens implant.
#toriciol #toric #cataract #dvc2020

[@carolbenson6524]

Wow...none of the optometrist visits I've had in 50 years explained any of this!!!! You are awesome.

[@ShikataGaNai100]

I had 6.5 diopters of astigmatism...wore glasses since I was 19. I had my cataract surgery in Sioux City...and had toric lenses...I now see 20/20 for distance. It is a whole new world for me. VA paid for the procedure and the lenses as well. I will get scoped for reading glasses this week. I highly recommend that anyone who needs cataract surgery and who has a high degree of astigmatism to consider this procedure after consultation with your ophthalmic surgeon.

[@yott1950]

Thanks for posting such an informative and simple to understand video for us laymen!

[@MB-gv3zs]

Thank you for making this very clearly understandable video. You did a great job explaining. Wish my ophthalmologist had been willing to explain half this well. Blessings to you!

[@lisamarielund6292]

Thank you doctor for your very easy to understand explanation. My own doc explained NOTHING to me beyond a brief explanation of the merits and cons of the lenses. Everything that I have learned about cataract surgery and lenses I have learned from the great docs who post You Tube videos. Thank you!!!

[@barneyporter6138]

Thank you doctor I'm about to go to the cataract surgery next month several years ago they can do what they can now and the new surgeries have dramatically gotten I just turned 66 and I can't wait to get my surgery done in Virginia and my Alfa insurance that I just got the first of the year is improving my life and I never did think I would ever be able to see any better because of my stigmatism so that's really good to know and I'm looking forward to get my cataract surgery done

[@joanchepon6793]

You were the first doctor that explained EXACTLY what to expect to be done since I have an astigmatism AND cataracts!! You made me understand the procedure more clearly. I am scheduled for my cataract surgery in August for my left eye, and in 10 days I will have the right eye done. I am nervous, almost everyone that I have spoken to that already had cataract surgeries say "it's a piece of cake!" I am not sure if I accept their positive reviews. I have had several medical procedures done since 2018...Breast Cancer, Diverticulitis, robotic colon resection, then I had deep vein thrombosis and finally I tested positive for Covid by the end of 2020. This is why I am skeptical. Thank you for making such an informative video. It helped me understand a lot more. Thank you.

[@navsofour2892]

How did it go? thanks.

[@jarendagarner9488]

You were very informational thank you😊

[@taylorrichard663]

Great video. Thanks

[@patriciageorge9648]

Thank you Doctor. Your video was so informative. I am very nearsighted and have astigmatism and will be undergoing cataract surgery soon. Explaining the prescription was especially helpful. It showed me that if I am a candidate a lens to correct the astigmatism although extra in cost would probably be the better choice for me. After the final measurements are completed I hope I will be a candidate for the toric lens.

[@77KEOK]

This was so helpful, thank you for sharing!

[@mathking2890]

Great video

[@terrileelodgeakamahmotlo3801]

Just home from cataract surgery got the acrysof iq vivity toric I’ll +17.5 D cyl 1.50 r eye. I am in Santa Cruz Co. with Sutter Health. Your explanation was really helpful and I must add if I was living away from our fires it would be down there. And I would pick you sir for eye care. Your patient care and kindness was felt in video. 👁👁✔️✌🏽

[@ginkaas]

Thank you for the informative video. How much does the prevailing Toric IOL cost in 2021?

[@ranjitdhiraj9974]

Thankyou 👍👍👍👍

[@leos3003]

That was great, saved me 8 years of schooling. JK, but I do at least understand astigmatism better.

[@larrydawson2580]

I have slight ghosting down and starburst at night. I had cataract Toric surgery Last week. I find now if a put a line on my glasses to black the ghosting down it helps a lot watching tv. My invention.

[@vib.3969]

Best explanation I've seen and I have looked at a lot of these. Thank you for such a clear explanation.

[@alesiaoreilly1538]

Thank You. Excellent educational video. I had cataract surgery on my left eye 6 weeks ago. I have one Vivity Toric IOL lens for my left eye AND A vivity IOL in my right eye for one week now. My right eye is still trying to adjust and settle down and my right eye seems fine. I can feel the Toric lens but I do t feel the one in my right eye. I am told this is normal

[@alesiaoreilly1538]

I meant to say the right eye has the Vivity IOL and I do not feel it like I do the Toric lens in my right eye

[@christineribone9351]

How accurate is the computer calculation? And is it less accurate with astigmatism? Is man made calculation a better option with astigmatism?

[@IndianaJ5085]

I have a Toric monofocal lens in my right eye and its perfect. My left eye is due in another 6 months (NHS appointment) they do not have the toric lens but only the basic monofocal lens. The doctor said my astigmatism is very low so I will not nee the toric lens. What do I do - do I go private and insist on the toric lens?

[@andrewbuza6035]

What value (-1,-2 etc) of astigmatism is needed to qualify/benefit for the toric lens ?

[@helengarsed3979]

How long does Cateract Surgery take Thank you Helen Garse' Age 71.As I have to have Cateract Surgery they have taken the picture at the back of my eyes?

[@davidwilson7584]

Getting ready to have this surgery insurance won't pay for laser but will cover manual even though my dedutable is more don't know witch way to go pay for all of it. I would like to pay dedutable so I can use insurance on other medical

[@elwerfally]

So I have question here please does the toric lens correct or type and number of the stigmatism even if it is mixed from plus and minus, as a surgeon do you prefer to implant toric lens or to dolaser surgery to correct astigmatism

[@jaimemontaner3801]

I’m up for surgery next June 11. I’ll be having a toric lens implanted due to my Keratoconus

[@andrewbuza6035]

I just had cateract surgery ( mono lens) and the Dr. Did not recommend toric lens. Now I have a ghost vision of sight. I paid extra for ora too and I am glasses dependent again. I not happy....is there too much astigmatism that the toric lens can't handle ? Should I get a second opinion? I also had RK years ago and had great vision out of the eye. Should I tell him I want the Toric ? Or he might be right that the toric won't helo me.

[@kvannoy1595]

I had a topic lens implanted 6 days ago. I can see clearly, but vertices lines have a slight wave. Alignment error?

[@6502Assembler]

I just had new lenses put in. One of 18 diopter and one of 18.5 diopter. What does that mean?

[@shashikantpatil3612]

Thank you sir I have watched your videos on KZbin. Sir I have operated my right eye with Acry- soft IQ of 6D Toric IOL as I have 2.5 cylinder. Sir sar can I use Alcon vivity EDOF Toric of 8D for my left eye and then what will be the effect on eye? Dr. has given me 5 days to think what to do. Please sir guide me in this respect as early as possible I will be very thankful to you

[@christineribone9351]

I have monovision and astigmatism and catarcts. Is a toric IOL still needed for the eye set for near vision? Or could I get a toric IOL for distance and a standard IOL lens for near sight? Wait, that wouldnt correct the astigmatism. Lets day theres munimal astigmatism in the near vision eye, so a toric isnt necessary. Could one mix and match a standard with a toric lens?

[@Cocora22]

I wish you had answered my question before I had the cataract Toric IOL. My results are way less than stellar. Worse vision, blurry vision flashing lights. I am 26 days post op with ZERO improvement and the Dr. says it takes time. Worse decision of my life!

[@mortalstorm]

Did you have a monofocal iol or a multifocal iol implant? From what I have read the problem is more severe with a multifocal lens. For many patients the symptoms improve over time. Unfortunately for some the improvements will only be slightly better where it will not make much of an impact on the quality of your vision. Give it some time and hopefully it’ll get better. There’s a lot of information on the internet including the public forums where people share their experiences with negative outcomes of the surgery such as yourself. As a last resort the lenses can be replaced, all other things being equal.

[@irmarios5234]

Is it safe to have a torix lens put in or is it dangerous I hope I don't go blind cause my vision is real bad bad I have a+ 4.25 and I'm getting ready to get a toric lens put in 8:24

[@Rita50]

Is it better to ask for EDOF Toric lens or it’s better to have just Toric Monofocal? I need to be able to see piano notes well at the distance of 1-1.5 meters, distance and computer would be nice. And not compromise night vision and contrast. What do you think? Would EDOF Toric would be still better than Monofocal Toric? My astigmatism is max -2.00

[@Cocora22]

Nice explanation, but some questions are still unanswered for many of us considering not just the cataract surgery, but also the use of the Toric lens. I have astigmatism and a cataract only in the right eye. So I will still need glasses for reading, plus to correct astigmatism in left eye. Plus the lens in my left eye is still good at 69 years old, so no idea if and when I might need surgery in left eye. Dr. says once you decide on Toric lens in first eye, same decision has to be made for second eye. Once you insert the Toric lens in the eye, is this a permanent fix for astigmatism? Or will the prescription for astigmatism change over time such as when you have not had this cataract surgery so eventually you end up where you started having to have glasses to correct the changes. In which case it would seem that using a toric lens would not be a permanent fix for the astigmatism. Thank You!!

[@1426Decatur]

I have the same question/situation. Wish I could see a response from the md.

[@donnap4928]

I was just diagnosed with cataract in my right eye only however I have astigmatism in both eyes. My doctor recommended having both eyes done because in my case the astigmatism in both eyes are fairly significant. Having one eye corrected, I would have had to wear a corrective eye glass for one eye (by left) using glasses, even though the right eye would potentially see at almost 20/20 or 20/25 (there are no guarantees). Right now both my eyes are at a -700. My non cataract affected eye, the left has a severe astigmatism. Every case is different but my goal was to try to improve distance only as much as possible but I am ok with reading a reading glasses for up close tasks or reading (intermediate). Hope this helps and good luck!

[@beneato12]

What about the Adjustable Light Lense

[@christineribone9351]

You have a nice smile and you seem very friendly! Maybe its because you live in Rancho Mirage. I'm concerned about getting a Toric IOL. I heard cataract surgery can cause MORE astigmatism. So glasses or contacts would still be needed. It seems like it would be defeating the purpose. And wasting a lot of money. Although, the arms would keep the lens from disloging. Just getting Toric contacts would be more efficient and cost effective. What's your input, please?

[@christineribone9351]

How is the corneal topography corrected with a Toric IOL?

[@mansurahmad7818]

Sir I need your help I have hepermature cataract ( four years old white dense cataract) doc say s that I can not have Toric lense because they can not mearements and calculations for toric iol due to hepermature cataract

[@tashamarie9206]

can you get this done at 18?

[@TriptiOm]

Why do all Eye Surgeon's wear Glasses...

[@allenletizia321]

I am 69 i just want pass for my license. I don't wear glasses. I had my eyes test said don't need glasses yet have problem driving at night head lights have ring . Yet saying cataracts. 1 ins pays other i pay total 9000.00 . If I do it with out laser or with laser? Or have do laser I have ins pay ? Can I still go with out glass if I go with ins?

[@Jnglfvr]

When do you use a toric lens instead of performing a limbic releasing incision? Does the degree of astigmatism inform your decision? What option would you choose for a 0.5 D cylinder at 90 degrees?

[@johndoddato2662]

Good question. I would like to know that myself for making my decision for cataract surgery

[@user-il7nt9ik6s]

Hey! I am in desperate need of help because I can’t seem to find any contacts with my powers (my left eyes cyl is -3.00 and my right one‘s -1.50) I really really hope that u can help me. 🙏🏼🙏🏼

[@desertvisioncenter]

We are a surgical practice. However, you can call our Patient Liaisons during normal operating hours at 760-340-4700 and they can help coordinate the help you need.

[@ratendrasinghjayara8974]

Sir please tell me that which lens is best for a one eyed person who is having Retinitis Pigmentosa; in cataract surgery. Other eye having no perception of light. Visual acuity in better eye is 6/24

[@rajesrajes6628]

Hi, is that ok to have trifocal lence in one eye and the other one with different lences?

[@peggyanncontosharvey1461]

I haD toric iol implants during cataract surgery and i have trapezoid vision which is nauseating and causing headaches...how common is this and what can be done...

[@peggyanncontosharvey1461]

This trapezoid vision occurs at close vision. Paper , forms to fill out, phone screens ipads and computer screens

[@cristinakuis96]

Could you please say how much would the Toric lens upgrade would be. I have Medicare but understand that toric lens is not covered.

[@dandana4647]

natural astigmatism is the addition of 2 causes ,one affecting the cornea and one other affecting the the lens . if you replace the lens by a non toric artificial one ,like we do for everyone with no astigmatism,than after the operation your astigmatism due to the cornea will remain ….but if your lens is replaced by a toric artificial one than this toric lens will take care of the remaining astigmatism due to your cornea ,otherwise your cornea astigmatism will remain blurring your vision more than before .

[@rolandstgeorge]

For me the toric upgrade is $1795 (Medicare)

[@solysayeg261]

Hi, can you please give me your opinion about glistening, which IOL has more postpone to have more of glistening Alcon Acrysoft or Johnson Tecnis? Thanks in advance!

[@davidandrews8007]

Do not worry you will adjust. The halos you eventually ignore. You will have super eyes when spotting glistening items.

[@solysayeg261]

@@davidandrews8007Thanks for your reply. But what about the material of Alcon IOL lens, some ophthalmologist says it's degenerative fastest than Johnson Tecnis material?

[@davidandrews8007]

@@solysayeg261 Never heard of material degenerating You need to just get the procedure done. This is a one time chance in you life.

[@kayBTR]

Did you decide which lens you are getting, or have you have it done? Thanks, I was told I need cataract surgery and have not heard about different brands degrading faster than others.

[@ligayamadison7232]

What if i'm so afraid of eye cataract operation.. what procedure can u advice me for me not to see doctor's eye tools.. my operation was postponed last sept 2020.. i got nervous and cold, seemed i got low sugar which i am not diabetic..

[@davidandrews8007]

Do not worry very simple.

[@Fred1294]

3:38

[@christineribone9351]

Millions of dollars are being made with cataract surgery. Will the Opthmology industry & FDA ever approve simple drops to clear astigmatism? Do they consider the patients convenience and cost effective methods, or is the industry more concerned about profit?

[@BlackieMiles1]

Very informative. Goes beyond standard explanation.

[@helenliolea3241]

Dr you are wearing glasses but talking about lens dat are good for da public. See da lenses not fitting you?.

[@dr.rebecca3265]

Most people don’t develop cataracts until their 60s. This Dr doesn’t look 60 to me.

[@peterlevan4719]

If you value your close-in vision...i.e. seeing your watch, doing DIY work, seeing instruments or people inside your car, seeing your phone (texts, etc.)? Please DO NOT opt for the Toric Lens. Since October 2023 my Toric Lens from Johnson & Johnson has left me CRIPPLED. Yes...I can read a license plate at 2-blocks, However, this morning I fell down 8 concrete stairs, head-first, because I no longer have depth perception OR balance. I was shamed into paying $1700 extra for the Toric Lens with the medical staff making me feel like a "cheapskate" for not choosing the so- called "premium lens." The worst medical decision of my life.

[@desertvisioncenter]

The toric lens is monofocal. This means that the best focus is only optimized at a single distance target. The toric lens can either work for near vision or far vision, but not both. If your goal was to read a book, read your phone and see license plates at a distance, a better choice may have been a multi focal lens such as panoptix. In our office, we always review the pros and cons of every lens choice whether it is a basic lens, a toric lens or an extended depth of field lens. We make sure our patients that choose a basic lens know that they will not have their astigmatism corrected, patients that choose a toric lens know that they are only given one distance target, and patients that choose a multi focal or extended range lens implant have better range of vision. You can always call our office for a second opinion - it may not be too late to do a lens exchange to change your toric lens for another choice, especially if your surgery was recent (within the past 2 to 4 weeks).

[@litamudolo6298]

⁵

[@marjorieportee3406]

Sir, please I need your help, I had cataract surgery may of this year, a lens to see near and far was introduced to me, the cost was 2400,00 dollars So I had it done, now I can't see close up to see far is alright , I am having problems getting my money back I'm 84 please help thank you

[@billmcnamara4593]

...and the eye dr is wearing glasses?

[@dr.rebecca3265]

Cataracts don’t form for most people until their 60’s. Dr doesn’t look 60, so probably not a good candidate for cataract surgery 🤷🏻‍♀️

[@lisamarielund6292]

What is your point exactly? He’s young, too young to get cataracts and he prefers to wear glasses over contact lenses and does want want to get LASIK surgery. It’s his own personal decision. The idiotic comments left on these videos simply boggles the mind.

[@johnhurley2435]

Why are you wearing a mask to make this video? Kinda silly so I turned it off

[@chrisweber9852]

WOW unbelievable how politicized people have made this deadly virus all to appease the trump cult.

[@lisamarielund6292]

@@chrisweber9852 Excellent reply. He’s wearing a mask because he’s a medical doctor who has gone to medical school and who has devoted years and years of his life to the study of medicine and he understands and believes in modern medical science. He understands things like germ and virus transmission. I believe these anti-vaxers and these anti maskers are incapable of understanding modern scientific medicine and are therefore afraid. Everybody is afraid of the unknown and what they don’t understand. These people who are either incapable or who refuse to even try to understand modern medical concepts or are easily duped by quasi-science, out and out lies and conspiracy theories.

[@garyhaley3072]

Well , by

[@paulhatton9305]

@@chrisweber9852 He is forced to weak these non scientific masks. As far as Mr Trump goes, get use to him being around. This November is the beginning of demolishing this clown and the whole Demorats party.

[@chrisweber9852]

@@paulhatton9305 Maybe you can visit him in prison. Or maybe you can go to Mar A Largo when he's sitting in his chair with the tray so he won't fall out and you can watch him drool as his Alzheimer's disease progresses. He's an evil sociopath and what does that say about you low mentality morons?