How many times do we let those 0.75D to 1.00D astigmats slide? Too often, we use spherical equivalents for these patients; it works, and everyone is satisfied. Did you ever stop and think: I wonder whether these patients would be better if I showed them a correction with cylinder? Even though patients can read the eye chart and might not complain of the decreased clarity, there is a chance that things could be better for them.
For patients who have this small amount of cylinder, we always attempt a daily disposable toric lens and see what the outcome is. Within about five minutes, we usually know whether patients are going to appreciate the difference. If they notice variability to their vision, the lens is out. If they notice more halos and glare, then the lens is likely rotated.
The option takes a moment to try, and many patients can benefit and would be really appreciative. It’s worth the shot.
READ MORE: https://www.clspectrum.com/newsletters/contact-lenses-today/june-14,-2020