Outcomes

Gain Unsurpassed Guidance for Astigmatic Outcomes

For premium patients, ALLY®’s robotic intelligence and superior imaging technology guide confident astigmatism management with unsurpassed precision for toric IOLs and arcuate incisions, helping surgeons deliver superior astigmatic outcomes.1
AcrySof Toric2
• 98% of eyes with toric IOL treatment were ≤0.50 D
Symfony Toric3
• 94% of eyes that received an EDOF toric IOL were ≤0.50 D 
post-op and MRSE was 
-0.14 ± 0.44 D (N=115)
TRULIGN Toric4
• 95% of eyes with toric IOL treatment were ≤0.50 D
• 81% of eyes had no residual astigmatism
Arcuate Incisions Results5
• 95.8% of eyes were ≤0.50 D
• 80.1% of eyes were ≤0.25 D
• 90.5% of eyes had astigmatism angle of error ≤15°

Robotic imaging enables treatment with robotic precision

ALLY’s powerful imaging technology maps the eye with unsurpassed detail. Robotic image analysis, based on learnings from thousands of cases and fueled by a built-in NVIDIA GPU, increases the accuracy of anatomical surface detection for precise treatment planning.

Iris registration with cyclorotation adjustment increases treatment precision 


ALLY’s proprietary technology delivers a new level of precision and accuracy to improve astigmatic management.

  • Replaces less precise preoperative manual corneal ink markings*
  • Automatic, software controlled cyclorotation adjustment
  • Not affected by loss of vascular detail due to pharmacologic effects

99% of patients experienced cyclorotation and subsequent adjustment in at least 1 eye (n=354 eyes)6

IntelliAxis Refractive Capsulorhexis guides unsurpassed toric IOL alignment

Guided by ALLY’s powerful robotic imaging technology and iris registration, IntelliAxis Refractive Capsulorhexis® incorporates small tabs on the capsular rim to clearly identify the intended axis both intra- and postoperatively.

Precise incisions guide superior low-level astigmatism management

Optimized arcuate incision planning
ALLY offers convenient, one-touch arcuate incision planning based on the surgeon's most current pre-programmed nomogram data.

Smart corneal incisions
To further precision, ALLY monitors the position of the cornea before each cut to ensure the precise location and depth of every incision (paracentesis, entrance, and arcuate).

Surgically induced astigmatism (SIA)
The ALLY System automatically modifies incision parameters to account for SIA and residual astigmatism entries.

Customizable capsulorhexis
improves ELP

For better effective lens positioning (ELP), which is critical for premium IOL outcomes, ALLY allows surgeons to customize the size, shape, and position of the capsulorhexis to optimize for the IOL being used.

100% round, free-floating capsulotomies7,8

Further, ALLY's robotic laser precision significantly improves the accuracy and repeatability of capsulotomy construction and the predictability and stability of postoperative refraction. 

Reduced phaco time and energy improves recovery

LENSAR’s laser systems provide optimization of laser fragmentation patterns reduces both endothelial cell loss and inflammation,  enhancing rapid visual recovery.9

*Based on surgeon preference

References

  1. Orr MG. Comparison of the enhancement rates of astigmatism correction with toric IOLs aligned using image guided iris registration versus intraoperative aberrometry. Paperpresented at ASCRS-ASOA Annual Meeting: Las Vegas, NV; July 23-27, 2021.
  2. Visco DM. Iris Registration-Guided Femtosecond Laser-Assisted Capsular Marks To Guide Toric IOL Alignment During Cataract Surgery. Paper presented at ASCRS-ASOA Annual Meeting: San Diego, CA; May 3-7, 2019.
  3. Rebenitsch RL. Visual and Refractive Outcomes of Femtosecond Laser-Assisted Refractive Lens Exchange (RLE) in 590 Eyes. Paper presented at AAO Annual Meeting: San Francisco, CA; October 12-15, 2019.
  4. Stephenson D. Laser-Assisted Capsular Marks and Intraoperative Abberometry to Guide Toric IOL Alignment During Cataract Surgery. Paper presented at AAO Annual Meeting: San Francisco, CA; October 12-15, 2019.
  5. Visco DM. Femtosecond Laser-Assisted Arcuate Keratotomy At The Time Of Cataract Surgery For The Management Of Pre-Existing Astigmatism. Journal of Cataract & Refractive Surgery (2019).
  6. Hummel CD, Diakonis VF, Desai NR, Arana A, Weinstock RJ. Cyclorotation during femtosecond laser–assisted cataract surgery measured using iris registration. J Cataract Refract Surg. 2017;43(7):952-955. doi: 10.1016/j.jcrs.2017.04.034.
  7. Yu AY, Ni LY, Wang QM, et al. Preliminary clinical investigation of cataract surgery with a noncontact femtosecond laser system. Lasers in surgery and medicine. Nov 2015;47(9):698-703.
  8. Uy HS. Laser Capsulotomies in Cataract Surgery: Shape and Mobility Analysis. Presented at the 2023 ASCRS User Meeting, American Society of Cataract and Refractive Surgeons, April 5-9, 2023, San Diego.
  9. Kaur M, Titiyal JS, Surve A, Falera R, Verma M. Effect of lens fragmentation patterns on phacoemulsification parameters and postoperative inflammation in femtosecond laser-assisted cataract surgery. Curr Eye Res. 2018;43(10):1228-1232.

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© 2025 LENSAR, Inc. All rights reserved. LENSAR, the LENSAR logo, Streamline, IntelliAxis, and IntelliAxis Refractive Capsulorhexis are registered trademarks and Intelligent Incisions, Augmented Reality, ALLY Robotic Cataract Laser System, and the ALLY Robotic Cataract Laser System logo are trademarks of LENSAR, Inc. All other trademarks are the property of their respective owners. 50-00503-000 Rev. D 1/25