Correlations of Corneal Spherical Aberration with Astigmatism and Axial Length in Cataract Patients.

Axial length has a negative effect on the anterior and total corneal SAs, which stabled around 0.33 μm and 0.30 μm in patients with axial length of ≥26 mm, respectively. Individualized SA adjustments are essential for patients undergoing aspheric toric IOL implantation with preoperative anterior corneal astigmatism of 1-2 D or ≥3 D. Toric IOLs with a negative SA of -0.20 μm are recommended for patients with anterior corneal astigmatism of 2-3 D if no customized therapy is warranted.