{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T08:59:47Z","timestamp":1792313987606,"version":"4.4.0"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,5,30]],"date-time":"2014-05-30T00:00:00Z","timestamp":1401408000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2015,2]]},"abstract":"Abstract<\/jats:title>Purpose<\/jats:title>To assess demographics and refractive outcomes in patients undergoing refractive lens exchange surgery (RLE<\/jats:styled-content>), with a population of cataract patients as a reference.<\/jats:p><\/jats:sec>Methods<\/jats:title>A RLE<\/jats:styled-content> cohort from a private eye clinic (n<\/jats:italic>\u00a0=\u00a0675) and a cataract cohort from the outcome registration of the Swedish National Cataract Register were studied and compared from an epidemiological perspective regarding age, gender, preoperative refraction and postoperative refractive outcome.<\/jats:p><\/jats:sec>Results<\/jats:title>The RLE<\/jats:styled-content> patients were younger (52.1\u00a0\u00b1\u00a07.7 versus 73.84\u00a0\u00b1\u00a09.32\u00a0years) with a smaller percentage of women (45.28% versus 60.46%; p\u00a0<\u00a00.001) and were more often myopic than the cataract patients. Astigmatism and hyperopia did not differ between the cohorts. Uncorrected visual acuity after RLE<\/jats:styled-content> equalled the best corrected visual acuity in best cases after cataract surgery. The absolute biometry prediction was more accurate in RLE<\/jats:styled-content> (0.17\u00a0\u00b1\u00a00.27\u00a0D versus 0.40\u00a0\u00b1\u00a00.58\u00a0D; p\u00a0<\u00a00.001), particularly in patients given a customized toric IOL<\/jats:styled-content> (0.12\u00a0\u00b1\u00a00.27\u00a0D; p\u00a0<\u00a00.05). In cataracts, the Haigis' formula showed higher accuracy than the SRK<\/jats:styled-content>\/T formula (0.39\u00a0\u00b1\u00a00.53\u00a0D versus 0.43\u00a0\u00b1\u00a00.61\u00a0D; p\u00a0<\u00a00.01). Postoperatively after RLE<\/jats:styled-content>, Laser Epithelial Keratomileusis was performed in 9.04% and Yttrium Aluminium Garnet capsulotomy in 7.41% of the eyes. Other reoperations were performed in three cases, and five postoperative retinal detachments occurred after RLE<\/jats:styled-content>.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Compared with patients undergoing cataract surgery, we see many similarities, but also many interesting differences in patients undergoing RLE<\/jats:styled-content>. Basic information about the growing population choosing to undergo RLE<\/jats:styled-content> can help us plan future ophthalmic care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.12460","type":"journal-article","created":{"date-parts":[[2014,5,30]],"date-time":"2014-05-30T06:04:47Z","timestamp":1401429887000},"page":"41-45","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Epidemiology and outcomes in refractive lens exchange surgery"],"prefix":"10.1111","volume":"93","author":[{"given":"Oscar","family":"Westin","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences\/Ophthalmology Ume\u00e5 University Hospital Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timo","family":"Koskela","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences\/Ophthalmology Ume\u00e5 University Hospital Ume\u00e5 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