A 58-year-old man with the following corneal topography map is undergoing cataract surgery OD. What would be your advice to him regarding corneal relaxing incisions to reduce his astigmatism?

Correct Answer: No surgical correction of the astigmatism

This patient has keratoconus OS with an asymmetric bowtie pattern on CVK OD. Surgical correction of the 2.25D of astigmatism is unpredictable and may further destabilize the cornea.

Further information on:

• Corneal Topography Systems
• Limbal Relaxing Incision (LRI) Kits
• Article entitled Limbal Relaxing Incisions Made Simple