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Slit-lamp assisted TORic Marker (STORM): A novel corneal axis marker
Neeraj Israni1, Shruti Kochar2, Amol Kadu3
1Department of Ophthalmology, Innovision Eye Hospital and Laser Centre, Mumbai, Maharashtra, India.
Indian Journal of Ophthalmology
|March 6, 2023
Summary
Accurate preoperative axis marking is crucial for toric intraocular lens (IOL) alignment. A new slit lamp-based toric marker, STORM, offers a hands-free, reliable, and accurate method for corneal marking, reducing postoperative refractive surprises.
Area of Science:
- Ophthalmology
- Surgical Innovation
- Optics
Background:
- Accurate alignment of toric intraocular lenses (IOLs) is essential for achieving spectacle-free distance vision.
- Despite advancements in biometry, unpredictable outcomes persist due to errors in preoperative axis marking for toric IOLs.
- Existing toric markers have improved accuracy but postoperative refractive surprises due to faulty marking remain a concern.
Purpose of the Study:
- To introduce STORM, a novel slit lamp-based toric marker designed for precise and reliable corneal axis marking.
- To provide a hands-free, no-touch, and slit-lamp assisted method for marking the astigmatic axis.
- To address the need for a stable, economical, and accurate marking solution in ophthalmic surgery.
Main Methods:
- Development of a novel toric marker integrated with slit lamp illumination.
- Utilizing a hands-free, no-touch technique for marking the cornea.
- Modification of traditional marking devices for enhanced ease of use and accuracy.
Main Results:
- The STORM toric marker facilitates accurate and easy marking of the astigmatic axis preoperatively.
- The no-touch, slit-lamp assisted approach minimizes errors and patient/surgeon stress during marking.
- The innovation offers a stable, economical, and reliable solution for toric IOL alignment.
Conclusions:
- The STORM toric marker provides a significant improvement in the accuracy and reliability of preoperative axis marking for toric IOLs.
- This innovation has the potential to reduce postoperative refractive surprises and enhance surgical outcomes.
- The user-friendly design ensures comfort and accuracy for both patient and surgeon.

