<![CDATA[Purpose: Evaluating the results of cataract surgery with high astigmatism and determining the type of IOL and surgical technique.Methods: Evaluating data from a patient with cataracts and high astigmatism who underwent phacoemulsification with IOL implantation. The patient's preoperative and postoperative visual acuity, refraction, aurorefractometer (AR), and keratometer results are shown.Result: The results of the examination of a patient with OD grade 2 buratto cataract with high astigmatism (AR: S+2.50 C-4.75X70). While OS grade 2 buratto cataract with AR: S+2.25 C-0.75 x140. The patient also found cylindrical anisometropia. OD UCVA 6/24 and BCVA 6/21 preoperatively after phacoemulsification + IOL / LA became 6/12 with BCVA 6 / 7.5 at the third week. The results of the preoperative corneal astigmatism in the patient were 0.25 diopters with astigmatism originating from the lens 4.50 diopters. In this operation, phacoemulsification was performed with the installation of foldable EDOF Elon IOL and did not choose the installation of foldable toric IOL. The AR results at the third week showed S-0.25 C-0.25 x40. This case report also demonstrates a reduction in the patient's lens astigmatism after cataract removal, which also eliminated the patient's astigmatism. Phacoemulsification surgery also eliminated the patient's cylindrical anisometropia.Conclusion: Good surgical results were obtained in cataract patients with high astigmatism who underwent phacoemulsification surgery with the choice of nontoric IOL when most of the astigmatism came from the lens and only a small amount of corneal astigmatism was left.]]>
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