A case of pellucid marginal degeneration (PMD) with cataract where a customized high-power toric IOL was implanted is reported. The patient had preoperative corneal astigmatism of 13.96 diopters (D), and a customized toric IOL of 19 D toricity was implanted; postoperative visual acuity was 6/9 on Snellen chart. The visual quality and aberrometric outcome were assessed with a ray-tracing aberrometer. The toric IOL gave not only a better uncorrected visual acuity but also better quality of vision in this patient with corneal astigmatism due to PMD. Copyright (C) 2020 Published by Wolters Kluwer on behalf of ASCRS and ESCRS
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