{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T20:54:12Z","timestamp":1770843252427,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2016,5,6]],"date-time":"2016-05-06T00:00:00Z","timestamp":1462492800000},"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":[[2016,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To report the long\u2010term stability of paired arcuate corneal keratotomies (<jats:styled-content style=\"fixed-case\">AK<\/jats:styled-content>s) in patients with high regular postpenetrating keratoplasty astigmatism.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective chart review of best\u2010corrected visual acuity, refraction and keratometric values of 41 eyes with <jats:styled-content style=\"fixed-case\">AK<\/jats:styled-content> between 2003 and 2012.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Magnitude of median target induced astigmatism vector was 9.2 dioptres (Dpt). We reached a median magnitude of surgically induced astigmatism vector of 9.81 Dpt and a median magnitude of difference vector of 5.5 Dpt. In keratometry, we achieved a net median astigmatism reduction by 3.3 Dpt. The average correction index was 1.14, showing a slight overcorrection. Irregularity of keratometric astigmatism increased by 0.6 Dpt, and spherical equivalent changed by 1.75 Dpt. Monocular best spectacle corrected visual acuity increased from preoperatively 20\/63 (0.5 log<jats:styled-content style=\"fixed-case\">MAR<\/jats:styled-content>) to 20\/40 (0.3 log<jats:styled-content style=\"fixed-case\">MAR<\/jats:styled-content>) postoperatively. Median gain on the <jats:styled-content style=\"fixed-case\">ETDRS<\/jats:styled-content> chart was two lines. Long\u2010term follow\u2010up showed a median keratometric astigmatic increase by 0.3 Dpt per year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Arcuate corneal keratotomies is a safe and effective method to reduce high regular corneal astigmatism following penetrating keratoplasty but has limited predictability. The long\u2010term follow\u2010up shows an increase of keratometric astigmatism by 0.3 Dpt\/year, equalizing the surgical effect after 10\u00a0years.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.13061","type":"journal-article","created":{"date-parts":[[2016,5,6]],"date-time":"2016-05-06T11:40:27Z","timestamp":1462534827000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Long\u2010term follow\u2010up of astigmatic keratotomy for corneal astigmatism after penetrating keratoplasty"],"prefix":"10.1111","volume":"94","author":[{"given":"Daniel","family":"B\u00f6hringer","sequence":"first","affiliation":[{"name":"Eye Center Medical Center Faculty of Medicine University of Freiburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nina","family":"Dineva","sequence":"additional","affiliation":[{"name":"Department of Optometry Aalen University of Applied Sciences Aalen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip","family":"Maier","sequence":"additional","affiliation":[{"name":"Eye Center Medical Center Faculty of Medicine University of Freiburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian","family":"Birnbaum","sequence":"additional","affiliation":[{"name":"Eye Hospital Klinikum Bremen\u2010Mitte Bremen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Kirschkamp","sequence":"additional","affiliation":[{"name":"Department of Optometry Aalen University of Applied Sciences Aalen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Reinhard","sequence":"additional","affiliation":[{"name":"Eye Center Medical Center Faculty of Medicine University of Freiburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Eberwein","sequence":"additional","affiliation":[{"name":"Eye Center Medical Center Faculty of Medicine University of Freiburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,5,6]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(99)00021-4"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(13)80617-7"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2008.07.004"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2015-306738"},{"key":"e_1_2_5_6_1","first-page":"87","article-title":"US trends in refractive surgery: 2003 ISRS\/AAO survey","volume":"21","author":"Duffey RJ","year":"2005","journal-title":"J Refract Surg Thorofare NJ 1995"},{"key":"e_1_2_5_7_1","first-page":"1992","volume-title":"Refractive keratotomy for myopia and astigmatism","author":"Eiferman R","year":"1992"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2012-302128"},{"key":"e_1_2_5_9_1","first-page":"585","article-title":"Comparison of intersecting trapezoidal keratotomy and arcuate transverse keratotomy in the correction of high astigmatism","volume":"11","author":"Harto MA","year":"1996","journal-title":"J Refract Surg Thorofare NJ 1995"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0420.1998.760202.x"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2007.01.031"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2008.12.017"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1027126"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(00)00324-2"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-05406-8"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.85.9.1127"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2006.01.103"},{"key":"e_1_2_5_18_1","first-page":"496","article-title":"Surgical correction of astigmatism after perforating keratoplasty","volume":"89","author":"Reinhard T","year":"1992","journal-title":"Ophthalmol Z Dtsch Ophthalmol Ges"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20140903-01"},{"key":"e_1_2_5_20_1","first-page":"492","article-title":"[Results of transverse incisions in surgical correction of severe post\u2010keratoplasty astigmatism]","volume":"13","author":"Saragoussi JJ","year":"1990","journal-title":"J Fr Ophtalmol"},{"key":"e_1_2_5_21_1","doi-asserted-by":"crossref","first-page":"33","DOI":"10.3928\/1081-597X-19920101-10","article-title":"Results of transverse keratotomies for astigmatism after penetrating keratoplasty: a retrospective study of 48 consecutive cases","volume":"8","author":"Saragoussi JJ","year":"1992","journal-title":"Refract Corneal Surg"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(99)80233-5"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(02)00960-0"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2001-19690"},{"key":"e_1_2_5_25_1","first-page":"151","article-title":"[Limbus\u2010parallel keratotomies with compression sutures in treatment of high astigmatism after perforating keratoplasty: a vector analysis and topographic study]","volume":"211","author":"Vilchis E","year":"1997","journal-title":"Klin Monatsbl\u00e4tter F\u00fcr Augenheilkd"},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2013.10.011"},{"key":"e_1_2_5_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2004.07.025"}],"container-title":["Acta Ophthalmologica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Faos.13061","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aos.13061","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,16]],"date-time":"2023-09-16T20:34:46Z","timestamp":1694896486000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/aos.13061"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,5,6]]},"references-count":26,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2016,11]]}},"alternative-id":["10.1111\/aos.13061"],"URL":"https:\/\/doi.org\/10.1111\/aos.13061","archive":["Portico"],"relation":{},"ISSN":["1755-375X","1755-3768"],"issn-type":[{"value":"1755-375X","type":"print"},{"value":"1755-3768","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,5,6]]},"assertion":[{"value":"2015-06-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-02-15","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-05-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}