(CASE 5) This patient had peripheral corneal scars and high irregular astigmatism with cataracts. Because the patient did not want to go through scar surgeries first, cataract surgery was designed by overcorrecting with toric IOL implantation so her flat axis (the one on which the VISX laser will work) will be away from her scars and therefore this caused the final axis for treatment to be between the scars rather than on the scars. The laser was then used to correct myopic astigmatism in clearing the center and reaching complete emmetropia.

(CASE 5) This patient had peripheral corneal scars and high irregular astigmatism with cataracts. Because the patient did not want to go through scar surgeries first, cataract surgery was designed by overcorrecting with toric IOL implantation so her flat axis (the one on which the VISX laser will work) will be away from her scars and therefore this caused the final axis for treatment to be between the scars rather than on the scars. The laser was then used to correct myopic astigmatism in clearing the center and reaching complete emmetropia.