Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
, 13, 311-324

Consensus on the Management of Astigmatism in Cataract Surgery


Consensus on the Management of Astigmatism in Cataract Surgery

Maria X Núñez et al. Clin Ophthalmol.


This project was aimed at achieving consensus on the management of astigmatism during cataract surgery by ophthalmologists from Latin America using modified Delphi technique. Relevant peer-reviewed literature was identified, and 21 clinical research questions associated with the definition, classification, measurement, and treatment of astigmatism during cataract surgery were formulated. Twenty participants were divided into seven groups, and each group was assigned three questions to which they had to respond in written form, after thoroughly reviewing the literature. The assigned questions with corresponding responses by each group were discussed with other participants in round 4 - presentation of findings. The consensus was achieved if approval was obtained from at least 80% of participants. The present paper provides several agreements and recommendations for management of astigmatism during cataract surgery, which could potentially minimize the variability in practice patterns and help ophthalmologists adopt optimal practices for cataract patients with astigmatism and improve patient satisfaction.

Keywords: astigmatism correction during cataract surgery; cataract patients with astigmatism; consensus on managing astigmatism; management of astigmatism; measurement and treatment of astigmatism.

Conflict of interest statement

Disclosure MXN serves as a consultant to Ziemer Ophthalmic Systems and as a speaker to Alcon Inc. and receives travel funding from Alcon Inc. LJE receives research funding from Alcon Inc., Asico LLC, Katena Products, Inc., and Epsilon Eyecare. LN serves as a speaker to Glaukos Corp. and Abott Medical Optics. MS, AE, and VAC serve as consultants to Alcon Inc. and receive travel funding. MAH and BVV have no conflicts of interest to disclose in this work. The authors report no other conflicts of interest in this work.

Similar articles

See all similar articles


    1. Read SA, Collins MJ, Carney LG. A review of astigmatism and its possible genesis. Clin Exp Optom. 2007;90(1):5–19. - PubMed
    1. Ferrer-Blasco T, Montés-Micó R, Peixoto-de-Matos SC, González-Méijome JM, Cerviño A. Prevalence of corneal astigmatism before cataract surgery. J Cataract Refract Surg. 2009;35(1):70–75. - PubMed
    1. Khan MI, Muhtaseb M. Prevalence of corneal astigmatism in patients having routine cataract surgery at a teaching hospital in the United Kingdom. J Cataract Refract Surg. 2011;37(10):1751–1755. - PubMed
    1. Michelitsch M, Ardjomand N, Vidic B, Wedrich A, Steinwender G. Prevalence and age-related changes of corneal astigmatism in patients before cataract surgery. Ophthalmologe. 2017;114(3):247–251. - PubMed
    1. Kanellopoulos AJ, Asimellis G. Distribution and repeatability of corneal astigmatism measurements (magnitude and axis) evaluated with color light emitting diode reflection topography. Cornea. 2015;34(8):937–944. - PMC - PubMed

LinkOut - more resources