{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T08:00:55Z","timestamp":1774944055113,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,2,1]],"date-time":"2012-02-01T00:00:00Z","timestamp":1328054400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2012,2,1]],"date-time":"2012-02-01T00:00:00Z","timestamp":1328054400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["OVS"],"published-print":{"date-parts":[[2012,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose.<\/jats:title>\n                    <jats:p>To investigate the factors affecting apparent accommodation in pseudophakic eyes from a clinical viewpoint and the effects of corneal and refractive astigmatism on this accommodation from an optical viewpoint.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>We retrospectively examined 62 eyes of 33 patients who had undergone phacoemulsification with monofocal intraocular lens implantation. We quantitatively assessed the amplitude of apparent accommodation using an accommodometer 3 months after surgery. Multiple regression analysis was used to assess the factors affecting apparent accommodation. We also estimated the accommodation in eyes with corneal astigmatism by optical simulation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>The mean amplitude of apparent accommodation was 1.58 \u00b1 0.65 D. Explanatory variables relevant to this accommodation were in order of influence, pupil diameter (partial regression coefficient B = \u22120.293, p = 0.008), and corneal multifocality (B = 0.101, p = 0.03). Other explanatory variables such as age, gender, axial length, corneal astigmatism, and refractive astigmatism showed no significant relationship with this accommodation. The estimated apparent accommodations for a 3.0 mm pupil by optical simulation were 1.25, 1.25, 1.25, 0.75, and 0 D, in eyes with corneal astigmatism of 0, 0.5, 1.0, 1.5, and 2.0 D, respectively. Similar results were obtained for a 4.0 mm pupil.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions.<\/jats:title>\n                    <jats:p>Eyes with smaller pupil diameter and eyes with greater corneal multifocality are more predisposed to have greater apparent accommodation. However, from clinical and optical viewpoints, corneal or refractive astigmatism does not significantly contribute to apparent accommodation after cataract surgery, suggesting that it may be of less significance that the astigmatism is consciously retained in consideration of this accommodation in astigmatic eyes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/opx.0b013e31823ededa","type":"journal-article","created":{"date-parts":[[2012,1,6]],"date-time":"2012-01-06T07:22:03Z","timestamp":1325834523000},"page":"148-154","source":"Crossref","is-referenced-by-count":16,"title":["Effect of Astigmatism on Apparent Accommodation in Pseudophakic Eyes"],"prefix":"10.1002","volume":"89","author":[{"given":"Kazutaka","family":"Kamiya","sequence":"first","affiliation":[{"name":"The Department of Ophthalmology School of Medicine University of Kitasato Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takushi","family":"Kawamorita","sequence":"additional","affiliation":[{"name":"School of Allied Health Sciences, University of Kitasato Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Uozato","sequence":"additional","affiliation":[{"name":"School of Allied Health Sciences, University of Kitasato Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroko","family":"Kasugai","sequence":"additional","affiliation":[{"name":"The Department of Ophthalmology School of Medicine University of Kitasato Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimiya","family":"Shimizu","sequence":"additional","affiliation":[{"name":"The Department of Ophthalmology School of Medicine University of Kitasato Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,2,1]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1016\/S0002-9394(14)74917-7","article-title":"Biometry of 7,500 cataractous eyes","volume":"90","author":"Hoffer KJ","year":"1980","journal-title":"Am J Ophthalmol"},{"key":"e_1_2_6_3_2","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1111\/j.1755-3768.1994.tb02729.x","article-title":"Cataract patients in a defined Swedish population 1986\u20131990. 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