{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T21:54:07Z","timestamp":1766181247561},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monatsbl Augenheilkd"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background It was the aim of this study to analyse the refractive outcome of toric intraocular lens (t-IOL) implantation guided by a newly developed method of photographic alignment.<\/jats:p><jats:p>\n          Material and Methods Fourteen eyes of 10 patients (6 females, 4 males, age 63.4\u2009\u00b1\u20096.7 (40.6\u200a\u2013\u200a68.0) years [mean\u2009\u00b1\u20091\u2009SD (range)]) were included in this retrospective study. All eyes received an Oculentis Tplus LS-313 (Oculentis, Berlin, Germany) t-IOL after standard phacoemusification (n\u2009=\u20094) or femtocataract laser-assisted surgery (n\u2009=\u200910). Image-guided t-IOL alignment included: (1) calculation of t-IOL parameters (combination of different biometric methods) and plotting a layout drawing of the target lens position, (2) capture of an anterior segment slit lamp photograph in the upright position, (3)\u00a0 superposition of the photographs by the t-IOL target plot and a gradual scale, (4) drawing of marker lines on the photograph and removal of the IOL target coordinates, (5) transfer of the final image to a tablet PC, and (6) marking of the target axis at the corneal limbus with an ink pen in the surgical room.<\/jats:p><jats:p>\n          Results Preoperative corneal astigmatism was 2.50\u2009\u00b1\u20090.97 (1.38\u200a\u2013\u200a4.34) diopters (D) (mean\u2009\u00b1\u20091\u2009SD, range). In all eyes, intraoperative alignment could easily be performed using the photographic target layout. Surgical interventions and postoperative follow-up were without complications in all cases. Residual postoperative astigmatism was 0.16\u2009\u00b1\u20090.24 (0.00\u200a\u2013\u200a0.75) D (p\u2009&lt;\u20090.001 compared to preoperative astigmatism). In 64% of patients, residual subjective astigmatism was zero, in 93% \u2264\u20090.5 D, and in 100% \u2264\u20090.75 D. Postoperative uncorrected logMAR visual acuity (0.05\u2009\u00b1\u20090.07, range 0.00\u200a\u2013\u200a0.20) and best-corrected visual acuity (0.03\u2009\u00b1\u20090.05, 0.00\u200a\u2013\u200a0.10) were significantly better (each p\u2009&lt;\u20090.001) than best-corrected preoperative visual acuity (0.21\u2009\u00b1\u20090.14, 0.00\u200a\u2013\u200a0.49).<\/jats:p><jats:p>\n          Conclusions Results of this clinical series clearly indicate that the newly developed photographically guided technique of toric lens alignment leads to highly accurate postoperative results for astigmatic correction.<\/jats:p>","DOI":"10.1055\/a-0861-9601","type":"journal-article","created":{"date-parts":[[2019,4,18]],"date-time":"2019-04-18T18:35:40Z","timestamp":1555612540000},"page":"391-397","source":"Crossref","is-referenced-by-count":3,"title":["A Simple, Inexpensive, and Precise Photographic Method for Intraoperative Toric IOL Alignment"],"prefix":"10.1055","volume":"236","author":[{"given":"Heinrich","family":"Gerding","sequence":"additional","affiliation":[{"name":"Dept. of Ophthalmology, Pallas Kliniken AG, Olten, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabor","family":"Somfai","sequence":"additional","affiliation":[{"name":"Dept. of Ophthalmology, Pallas Kliniken AG, Olten, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Langenegger","sequence":"additional","affiliation":[{"name":"Dept. of Ophthalmology, Pallas Kliniken AG, Olten, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,4,18]]},"container-title":["Klinische Monatsbl\u00e4tter f\u00fcr Augenheilkunde"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-0861-9601.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,18]],"date-time":"2019-04-18T18:35:46Z","timestamp":1555612546000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-0861-9601"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4]]},"references-count":0,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2019,4,18]]},"published-print":{"date-parts":[[2019,4]]}},"URL":"https:\/\/doi.org\/10.1055\/a-0861-9601","relation":{},"ISSN":["0023-2165","1439-3999"],"issn-type":[{"value":"0023-2165","type":"print"},{"value":"1439-3999","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4]]}}}