Dr. Kimiya Shimizu is responsible for many innovations. In the early 1980s he was one of the first to operate on cataract patients using only topical anesthesia. He also performed a circular capsulhorexis, clear corneal incisions, and sutureless closure in Japan years before these techniques became popular in the Western world. He was the first to design a pre-loaded injector, championed the pseudophakic option of monovision, and developed the toric lens in the early 1990s. In this video he performs a toric IOL implantation, which accounts for about 10% of all his operations.