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Twenty-eight eyes of 28 patients with both corrected distance visual acuity (CDVA) under 20\/25 and subjective visual discomfort at 3\u00a0months after mIOL implantation were included in the study. TGL was performed to correct corneal HoA. Visual acuity, manifest refraction, and corneal HoA were measured 3\u00a0months after TGL. CDVA was improved in 22 (78.57%) of 28 eyes after TGL. Uncorrected distance visual acuity (0.12\u2009\u00b1\u20090.16 logMAR) and uncorrected near visual acuity (0.081\u2009\u00b1\u20090.16 logMAR) were better than those before TGL (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Residual refractive astigmatism showed no difference compared to that before TGL. Root mean square (RMS) of HoA (<jats:italic>P<\/jats:italic>\u2009=\u20090.012), spherical aberration (<jats:italic>P<\/jats:italic>\u2009=\u20090.013), and RMS of coma (<jats:italic>P<\/jats:italic>\u2009=\u20090.001) were reduced relative to those before TGL. Amount of improvement in CDVA was correlated with amount of reduced coma RMS (R\u2009=\u20090.524; <jats:italic>P<\/jats:italic>\u2009=\u20090.005) and spherical aberration (R\u2009=\u20090.443; <jats:italic>P<\/jats:italic>\u2009=\u20090.021). TGL showed to improve both refractive and visual outcomes in patients with mIOL implantation by correcting corneal HoA.\n<\/jats:p>","DOI":"10.1038\/s41598-020-67726-8","type":"journal-article","created":{"date-parts":[[2020,6,30]],"date-time":"2020-06-30T10:04:05Z","timestamp":1593511445000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Clinical outcomes of topography-guided femtosecond laser-assisted in situ keratomileusis after multifocal intraocular lens implantation"],"prefix":"10.1038","volume":"10","author":[{"given":"Eunhae","family":"Shin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young-Sik","family":"Yoo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung-Ho","family":"Choi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sun-Hyup","family":"Han","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong Hui","family":"Lim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gil-Joong","family":"Yoon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tae-Young","family":"Chung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,6,30]]},"reference":[{"key":"67726_CR1","doi-asserted-by":"publisher","first-page":"859","DOI":"10.1016\/j.jcrs.2010.11.032","volume":"37","author":"NE de Vries","year":"2011","unstructured":"de Vries, N. 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