What is a Limbal Relaxing Incision for Cataract Surgery?


For many patients, cataract surgery presents an opportunity to not only restore vision but also correct other underlying vision issues. Astigmatism is a common condition that causes blurred vision due to an uneven curvature of the cornea. At Progressive Ophthalmology, we offer Limbal Relaxing Incision (LRI) to help reduce astigmatism and maximize the sharpness of your vision - all in a single procedure.

Understanding Astigmatism and Cataracts


Astigmatism occurs when the cornea, the clear front surface of the eye, is shaped more like a football than a basketball. This irregular shape prevents light from focusing properly on the retina, resulting in blurred or distorted vision at all distances.


Many patients undergoing cataract surgery also have astigmatism, and without addressing it during surgery, they may still require glasses or contact lenses afterward. Limbal relaxing incisions provide a safe and effective way to reduce or correct astigmatism at the same time as cataract surgery.

What Is a Limbal Relaxing Incision (LRI)?


A Limbal Relaxing Incision is a precise, curved incision made in the limbus - the outer edge of the cornea where it meets the white part of the eye (sclera). The purpose of the incision is to gently alter the shape of the cornea, making it more symmetrical and reducing astigmatism.


By relaxing the cornea at specific points, the incisions allow it to reshape into a more regular curvature, which enhances the eye’s ability to focus light more accurately. These incisions are typically made with a fine surgical blade or a femtosecond laser, depending on the technique used by your surgeon.

cataract surgery

What to Expect During and After Surgery

Limbal relaxing incisions are performed during cataract surgery and only add a few minutes to the overall procedure. The process is generally painless, as anesthetic eye drops are used to numb the eye. The incisions themselves are small, do not require stitches, and typically result in minimal discomfort. Most patients heal quickly without complications and notice an improvement in their vision, often with reduced reliance on glasses for distance viewing.


LRI vs. Toric IOLs

Both limbal relaxing incisions (LRIs) and toric intraocular lenses (IOLs) are effective options for correcting astigmatism during cataract surgery, but they differ in approach and ideal use cases.


LRIs involve making small, curved incisions at the edge of the cornea to reduce its irregular curvature. This method is typically best suited for patients with mild to moderate astigmatism and can be performed quickly during cataract surgery without the need for additional implants. LRIs are also generally more cost-effective and may be included in the standard surgical plan.


Toric IOLs, on the other hand, are specially designed lenses implanted in place of the natural lens to correct higher levels of astigmatism. These lenses are customized based on the amount and orientation of the patient’s corneal curvature and provide a built-in solution to astigmatism correction.


In some cases, both techniques may be used together to achieve the best possible visual outcome. The choice between LRIs and toric IOLs depends on the degree of astigmatism, eye health, visual goals, and surgeon recommendation.

Schedule Your Cataract Surgery Consultation Today


Limbal relaxing incisions are a safe, minimally invasive solution for correcting astigmatism during cataract surgery. We tailor each surgical plan to your individual needs to provide the clearest vision possible. Whether you’re managing cataracts, astigmatism, or both, our experienced team is here to guide you toward the best treatment option.


To learn more about how limbal relaxing incisions can enhance your cataract surgery results, contact Progressive Ophthalmology to schedule a consultation and explore your personalized treatment options. Visit our office in Queens, New York, or call (718) 565-2020 to book an appointment today.