{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:40:49Z","timestamp":1747183249921,"version":"3.40.5"},"reference-count":35,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,3,30]],"date-time":"2024-03-30T00:00:00Z","timestamp":1711756800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To evaluate the surgically induced astigmatism over a 6\u2010month follow\u2010up period in patients who underwent scleral IOL fixation using an acrylic single\u2010piece IOL with special haptics designed for sutureless scleral fixation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a prospective longitudinal study at a single site with a single surgeon. We included patients who received transscleral IOL implantation following the Carlevale technique and were followed up post\u2010operatively for 24\u2009weeks. We measured the patient's refraction at baseline, week 12 and week 24 using the best corrected visual acuity at 4\u2009m (EDTRS chart). We performed corneal tomography at every visit using an anterior segment optical coherence tomography (AS\u2010OCT).<\/jats:p><jats:p>We evaluated surgically induced astigmatism (SIA) and refraction during each follow\u2010up visit and compared them to baseline. We then assessed changes in SIA over time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 27 eyes of 27 patients consisting of 16 female and 11 male individuals were evaluated. The mean patient age was 71\u2009\u00b1\u200911.7\u2009years, mean axial length was 24.30\u2009\u00b1\u20091.47\u2009mm (range: 21.4\u201327.23) and mean white\u2010to\u2010white distance was 12.07\u2009\u00b1\u20090.40\u2009mm (range: 11.4\u201312.7).<\/jats:p><jats:p>The mean SIA decreased from 1.78\u2009\u00b1\u20090.96D at week 1 significantly to 0.80\u2009\u00b1\u20090.55D at week 12 (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and then stayed unchanged around 0.82\u2009\u00b1\u20090.72D at week 24 (<jats:italic>p<\/jats:italic>\u2009=\u20091.0).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The scleral fixated Carlevale IOL and its implantation procedure were found to result in a predictable SIA of &lt;1D after 24\u2009weeks. However, the axis orientation of the SIA appeared to be random, making it unsuitable for implementation in toric IOL calculations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.16686","type":"journal-article","created":{"date-parts":[[2024,3,30]],"date-time":"2024-03-30T08:05:11Z","timestamp":1711785911000},"page":"897-905","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgically induced astigmatism in the scleral fixated \u2018Carlevale\u2019 <scp>IOL<\/scp> technique"],"prefix":"10.1111","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2630-1368","authenticated-orcid":false,"given":"Markus","family":"Schranz","sequence":"first","affiliation":[{"name":"Department of Ophthalmology and Optometry Medical University of Vienna  Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudette","family":"Abela\u2010Formanek","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Optometry Medical University of Vienna  Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7661-4015","authenticated-orcid":false,"given":"Gregor S.","family":"Reiter","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Optometry Medical University of Vienna  Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgios","family":"Mylonas","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Optometry Medical University of Vienna  Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Schartm\u00fcller","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Optometry Medical University of Vienna  Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4344-4624","authenticated-orcid":false,"given":"Adrian","family":"Reumueller","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Optometry Medical University of Vienna  Vienna 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