 Hi, I'm Dee Stevenson, and I'd like to share with you the implantation of a toric lens. This is kind of a unique toric lens. This is a true line toric lens, and this is based on the crystalline's platform. It's a premium IOL, and it's an accommodating IOL, so it allows you to see intermediate distance and near vision without glasses or very independent of glasses. So let me just show you. This is a post refractive patient. This patient has had RK as you can see on the cornea. The incision is 2.8 millimeters, and again this comes out in a planar fashion. And I put the leading haptic into the bag, and then I push with a stylet the trailing haptic. I try very hard to use the second instrument to place this lens in the bag. You have to make sure that the trailing haptic goes in the bag, so I kind of rock the lens almost to the point and I push it so that I know all four haptics are in the bag. If not, this lens does not perform well at all. So now I know it's in the bag, and if it does not center well, you know it's not in the bag. So I try to rotate it, sometimes 360 degrees. I also again polish the capsule, but I'll just show here quickly how nicely this lens centers. I again am rotating it just to make sure it's in the bag. I'm going to rotate it into the axis of astigmatism, the steep axis of astigmatism. And this will, and I'll show you this in just a second on this video. So I'm filling it back up with viscoelastic, and as you see, there's four Prokinje images that you're seeing from the microscope. I'm measuring the pressure because I'm getting ready to use aura. Two of those are from the lens itself, and two of those, of course, are from the microscope. So once this is aligned with, and I use aura again, once this is aligned on your steep axis, before I take the viscoelastic out, I mark the external cornea. So I don't have to redo measurements. I can see grossly if this lens moves in the eye. So it's a nice little pearl that I use on every case. So I can take the viscoelastic out knowing that that lens is not going to move away from those dots. Now it looks like it does here, but it really doesn't. But this gives you a good idea that this lens is where it's supposed to be. A lot of times the pupil comes down, you can't see the markings on the torac lens, so this allows you to see that if you push the iris back that the lens is still in very good position. I will do a final reading with aura. In this particular lens, you want to make sure with a crystal lens or a true line that the wound seals very nicely, and I put a suture in just because it allows me to sleep at night. I don't worry about my patient rubbing their eye. Even though I can do a self-sealing incision on these, I still put a suture in and I remove it at one week. But this is a very elegant accommodative lens. You want to make sure you get all the viscoelastic out so it positions itself in the appropriate place for good healing and good outcomes. I hope you enjoyed this video and I hope you enjoy learning more about ophthalmology. Thank you for your time.