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Cataract surgery · Astigmatism correction
Toric IOLs for Astigmatism in Fort Worth & Colleyville, TX
A toric intraocular lens corrects astigmatism at the same time your cataract is removed, so you can see sharply at distance without relying on glasses to fix blur. Dr. David Truong offers toric lenses to patients across Fort Worth, Colleyville, Keller, and the DFW area.
The short answer
What is a toric IOL?
A toric IOL is a lens implant used in cataract surgery that corrects astigmatism. Astigmatism happens when the cornea is shaped more like a football than a basketball, which blurs vision at every distance. A toric lens has different powers in different directions and is aligned to cancel out that blur.
A standard lens replaces your cloudy cataract but leaves astigmatism behind, so glasses are still needed to see clearly. With a toric lens, many Fort Worth and Colleyville patients see clearly at distance without glasses after surgery.
Step by step
How does toric lens surgery work?
Correcting astigmatism depends on precise measurement and precise alignment.
Measure your cornea
Advanced imaging measures how much astigmatism you have and its exact direction, called the axis.
Plan the lens
Dr. Truong calculates the toric lens power and the angle it must sit at inside your eye.
Align during surgery
After the cataract is removed, the lens is placed and rotated to line up with your astigmatism axis.
Confirm at follow-up
Post-op visits check your vision and lens position while your eye heals.
Astigmatism
Why does astigmatism matter during cataract surgery?
Astigmatism is very common, and it does not go away when a cataract is removed. If it is not corrected, your new lens may focus light unevenly, leaving vision blurry, stretched, or shadowed, especially at night.
Because cataract surgery already replaces the lens inside your eye, it is an ideal time to correct astigmatism. A toric lens does that without adding a separate procedure.
- ✓Sharper distance vision. Clearer driving, TV, and faces across the room.
- ✓Less glasses dependence. Many patients no longer need distance glasses.
- ✓One procedure. Cataract and astigmatism are treated in the same surgery.
Candidates
Who is a good candidate for a toric IOL?
A toric lens may be recommended if you:
- ✓Have cataracts and regular corneal astigmatism measured at your exam
- ✓Want to see clearly at distance without glasses after surgery
- ✓Have worn glasses or toric contact lenses for astigmatism for years
- ✓Are choosing a premium lens and want astigmatism corrected for the best result
Very small amounts of astigmatism may be better treated with laser incisions, and irregular astigmatism from conditions such as keratoconus or corneal scarring needs a different plan. As a cornea specialist, Dr. Truong evaluates the shape of your cornea carefully before recommending a toric lens.
Lens choices
Toric versions of premium lenses
Toric correction is available in many lens designs, so astigmatism does not limit your options.
Monofocal toric
Sharp distance vision with astigmatism corrected; readers for near.
Clareon monofocal →TECNIS Eyhance Toric II
Distance plus improved intermediate, with low glare.
TECNIS Eyhance →TECNIS PureSee Toric II
Distance and intermediate range with monofocal-quality contrast.
TECNIS PureSee →PanOptix Pro Toric
Near, intermediate, and distance vision with astigmatism corrected.
PanOptix Pro →Light Adjustable Lens
Astigmatism can be fine-tuned with light after surgery.
Light Adjustable Lens →Compare
Ways to correct astigmatism during cataract surgery
Dr. Truong chooses the approach based on how much astigmatism you have and its pattern.
| Option | Best for | How it works |
|---|---|---|
| Toric IOL | Moderate to higher regular astigmatism | Lens implant aligned to cancel astigmatism |
| LensAR laser incisions | Mild astigmatism | Small arcuate incisions reshape the cornea |
| Light Adjustable Lens | Patients who want post-surgery fine-tuning | UV light treatments adjust the lens after healing |
| Standard lens and glasses | Patients who prefer to keep wearing glasses | Astigmatism is corrected by glasses after surgery |
Surgery and recovery
What to expect with toric IOL surgery
Toric lens surgery is performed like routine cataract surgery: outpatient, one eye at a time, with numbing drops. Before surgery, reference marks or laser guidance help Dr. Truong align the lens. LensAR laser-assisted surgery can mark the axis precisely.
Recovery
Most patients notice clearer vision within a few days. Avoid rubbing your eye and follow your drop schedule. In a small number of cases, a toric lens can rotate out of alignment early after surgery and may need a brief procedure to reposition it, which is one reason follow-up visits matter.
Your surgeon
Toric lens surgery with a cornea specialist
Astigmatism starts in the cornea, which is Dr. David Truong’s specialty. He is a board-certified ophthalmologist who completed fellowship training in cornea and refractive surgery at UCLA’s Jules Stein Eye Institute, and he examines corneal shape in detail before recommending a toric lens.
- ✓Detailed corneal imaging to confirm your astigmatism is regular and stable.
- ✓Toric options in every lens category, from monofocal to trifocal.
- ✓Accredited surgery suite with Joint Commission accreditation for office-based surgery.
- ✓Two offices in Fort Worth (Alliance) and Colleyville.
Cost & coverage
Is a toric IOL covered by Medicare or insurance?
Medicare and most insurance plans cover medically necessary cataract surgery with a standard lens. The astigmatism-correcting portion of a toric lens is generally an out-of-pocket upgrade. Our team reviews your coverage and cost before surgery, and financing is available.
See financing optionsFor details, see cataract surgery cost and Medicare coverage in Fort Worth.
Two locations
Toric lens surgery near you in Fort Worth and Colleyville
Consultations and follow-up visits are available at both offices, with Dr. Truong and optometrist Dr. Samantha Reynolds. Both offices are open Monday–Thursday 8:00 am–5:00 pm and Friday 8:00 am–3:00 pm.
(817) 886-4600
(817) 886-4600
Coming from Keller or Southlake? See eye surgery for Keller and Southlake patients.
FAQ
Toric IOL FAQs
Can astigmatism be corrected during cataract surgery?
Yes. A toric lens implant, laser incisions, or the Light Adjustable Lens can correct astigmatism during or after cataract surgery. Dr. Truong recommends the best method after measuring your cornea.
Will I need glasses after a toric lens?
Many patients see clearly at distance without glasses after a toric lens. With a monofocal toric, reading glasses are usually still needed for near; toric versions of EDOF and trifocal lenses can reduce that need.
What happens if a toric lens rotates?
If a toric lens rotates out of position, astigmatism can return. This is uncommon and usually happens early after surgery; a short procedure can rotate the lens back into place.
Can I get a toric lens if I have keratoconus?
It depends. Toric lenses correct regular astigmatism, while keratoconus causes irregular astigmatism. Some patients with stable, mild keratoconus may still benefit, which is why a cornea specialist’s evaluation matters.
Does Medicare cover toric lenses?
Medicare covers the cataract surgery, but the astigmatism-correcting toric upgrade is generally an out-of-pocket cost. Our team reviews your coverage and financing options before surgery.
Is a toric IOL better than laser incisions for astigmatism?
It depends on the amount of astigmatism. Toric lenses are typically preferred for moderate or higher astigmatism, while laser incisions may be enough for mild astigmatism.
Where can I get a toric IOL near Fort Worth?
Azure Eye Center offers toric lens implants at our offices in Fort Worth (Alliance) and Colleyville. Patients also come from Keller, Southlake, Grapevine, and North Richland Hills. Call (817) 886-4600 to schedule.
Related pages
Correct your astigmatism during cataract surgery
Schedule a cataract consultation in Fort Worth or Colleyville. Dr. Truong will measure your astigmatism and explain whether a toric lens is right for you.
This page is for general education and is not medical advice. Candidacy, treatment options, risks, and results vary by patient and are determined at an in-person exam with your eye doctor.