Simple steep-axis marking technique using a corneal analyzer

We describe a simple steep-axis marking technique that uses a corneal analyzer (OPD III scan) during arcuate keratotomy in femtosecond laser-assisted cataract surgery. The technique requires a single reference mark at the limbus, which does not have to be on the horizontal axis. Using the corneal analyzer, the angle between the steep axis and the reference line between the reference mark and the center of the cornea can be determined. The angle from the reference mark is used intraoperatively to locate the steep axis. This eliminates the potential error from different head positions during keratometry measurement and during traditional marking under the slitlamp. The marking technique can also be applied to toric intraocular lens implantation during cataract surgery.