{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T02:09:53Z","timestamp":1771639793660,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,8,30]],"date-time":"2016-08-30T00:00:00Z","timestamp":1472515200000},"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":[[2017,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To evaluate the effect of toric intraocular lens (<jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content>) implantation on the refractive outcomes in children with cataract and preexisting corneal astigmatism.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We included children between the age group of 8\u201314\u00a0years who were randomized into group I (toric) and group <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content> (non\u2010toric), in which toric and spherical <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content>s were implanted, respectively, after phacoaspiration. Primary outcome measure was comparison of preoperative keratometric and postoperative refractive cylinder. Secondary outcome measure was comparison of pre\u2010 and postoperative visual outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>This study included 21 eyes of 17 children with developmental cataract. The mean spherical power of the toric <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content>s implanted in the group I was 22.42\u00a0\u00b1\u00a04.84 D (range 12.50\u201329.00 D) and the mean cylindrical power of toric <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> was 3.37\u00a0\u00b1\u00a01.43 D (range 1.50\u20136.00D). The mean spherical power implanted in non\u2010toric (group <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>) was 20.70\u00a0\u00b1\u00a07.09 D (range 10\u201331D). Mean preoperative keratometric cylinder in group I was 2.99\u00a0\u00b1\u00a00.96 D (range 1.85\u20135.12 D) and in group <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content> it was 3.35\u00a0\u00b1\u00a00.63 D (range 2.03D\u20134.33 D) (p\u00a0=\u00a00.31) while the mean refractive cylinder at one year postoperatively in group I was 0.50\u00a0\u00b1\u00a00.39 D (range 0.00\u20131.00 D) and in group <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content> it was 2.05\u00a0\u00b1\u00a00.39 D (range 1.25D\u20132.50 D; p\u00a0=\u00a00.006). Twelve months postoperatively, group I had a mean spherical equivalent (<jats:styled-content style=\"fixed-case\">SE<\/jats:styled-content>) 0.41\u00a0\u00b1\u00a00.26 D (range 0.00\u20130.88 D) and group <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content> had 1.8\u00a0\u00b1\u00a01.03 D (range 0.63\u20134.00 D) (p\u00a0=\u00a00.002). Uncorrected distance visual acuity (<jats:styled-content style=\"fixed-case\">UDVA<\/jats:styled-content>) improved from 0.94 log <jats:styled-content style=\"fixed-case\">MAR<\/jats:styled-content>\u00a0\u00b1\u00a00.51 (range 0.60\u20132.00) to 0.43 log <jats:styled-content style=\"fixed-case\">MAR<\/jats:styled-content>\u00a0\u00b1\u00a00.33 (range 0.00\u20131.00) in the group I at the end of 1\u00a0year and in group <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>, it improved from 1.52 log <jats:styled-content style=\"fixed-case\">MAR<\/jats:styled-content>\u00a0\u00b1\u00a01.12 to 0.75 log <jats:styled-content style=\"fixed-case\">MAR<\/jats:styled-content>\u00a0\u00b1\u00a00.70 (range 0.00\u20132.00) at the end of 1\u00a0year. Corrected distant visual acuity (<jats:styled-content style=\"fixed-case\">CDVA<\/jats:styled-content>) improved in group I from 0.72 log <jats:styled-content style=\"fixed-case\">MAR<\/jats:styled-content>\u00a0\u00b1\u00a00.17 (range 0.48\u20131.00) to 0.19 log <jats:styled-content style=\"fixed-case\">MAR<\/jats:styled-content>\u00a0\u00b1\u00a00.26 (range 0.00\u2010 0.78) at the end of one year while in group <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>, it improved from 1.33\u00a0\u00b1\u00a01.08 (range 0.18\u20133.00) to 0.49 log <jats:styled-content style=\"fixed-case\">MAR<\/jats:styled-content>\u00a0\u00b1\u00a00.80 (range 0.00\u20132.00) at the end of 1\u00a0year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Toric <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> implantation in children significantly reduces postoperative astigmatism and thereby improves visual 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