{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T10:49:05Z","timestamp":1792234145665,"version":"4.4.0"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T00:00:00Z","timestamp":1728432000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Exper Ophthalmology"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The purpose of this study was to simulate the impact of biometric measure uncertainties, lens equivalent and toric power labelling tolerances and axis alignment errors on the refractive outcome after cataract surgery with toric lens implantation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In this retrospective non\u2010randomised cross sectional Monte\u2010Carlo simulation study we evaluated a dataset containing 7458 LenStar 900 preoperative biometric measurements. The biometric uncertainties from literature, lens power labelling according to ISO 11979, and axis alignment tolerances of a modern toric lens (Hoya Vivinex) were taken to be normally distributed and used in a Monte\u2010Carlo simulation with 100\u2009000 samples per eye. The target variable was the defocus equivalent (DEQ) derived using the Castrop (DEQ\n                      <jats:sub>C<\/jats:sub>\n                      ) and the Haigis (DEQ\n                      <jats:sub>H<\/jats:sub>\n                      ) formulae.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean\/median \/ 90% quantile DEQ\n                      <jats:sub>C<\/jats:sub>\n                      was 0.22\/0.21\/0.36\u2009D and DEQ\n                      <jats:sub>H<\/jats:sub>\n                      was 0.20\/0.19\/0.32\u2009D. Ignoring the variation in lens power labelling and toric axis alignment the respective DEQ\n                      <jats:sub>C<\/jats:sub>\n                      was 0.20\/0.19\/0.32\u2009D and DEQ\n                      <jats:sub>H<\/jats:sub>\n                      was 0.18\/0.17\/0.29\u2009D. DEQ\n                      <jats:sub>C<\/jats:sub>\n                      and DEQ\n                      <jats:sub>H<\/jats:sub>\n                      increased with shorter eyes, steeper corneas, equivalent lens power and highly with toric lens power.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>According to our simulation results, uncertainties in biometric measures, lens power labelling tolerances, and axis alignment errors are responsible for a significant part of the refraction prediction error after cataract surgery with toric lens implantation. Additional labelling of the exact equivalent and toric power on the lens package could be a step to improve postoperative results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ceo.14449","type":"journal-article","created":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T07:19:38Z","timestamp":1728458378000},"page":"26-38","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Prediction of refraction error after toric lens implantation with biometric input data uncertainties and power labelling tolerances"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9175-6177","authenticated-orcid":false,"given":"Achim","family":"Langenbucher","sequence":"first","affiliation":[{"name":"Department of Experimental Ophthalmology Saarland University  Saarbr\u00fccken Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N\u00f3ra","family":"Szentm\u00e1ry","sequence":"additional","affiliation":[{"name":"Dr. Rolf M. Schwiete Center for Limbal Stem Cell and Aniridia Research Saarland University  Saarbr\u00fccken Germany"},{"name":"Department of Ophthalmology Semmelweis\u2010University  Budapest Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Cayless","sequence":"additional","affiliation":[{"name":"School of Physical Sciences The Open University  Milton Keynes UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Cooke","sequence":"additional","affiliation":[{"name":"Great Lakes Eye Care  Saint Joseph Michigan USA"},{"name":"Department of Neurology and Ophthalmology, College of Osteopathic Medicine Michigan State University  East Lansing Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"Augen\u2010 und Laserklinik Castrop\u2010Rauxel  Castrop\u2010Rauxel Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4145-2559","authenticated-orcid":false,"given":"Jascha","family":"Wendelstein","sequence":"additional","affiliation":[{"name":"Department of Experimental Ophthalmology Saarland University  Saarbr\u00fccken Germany"},{"name":"Department of Ophthalmology Johannes Kepler University Linz  Linz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102415\u20108\u201022"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X\u201020200729\u201003"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20102008\u20101027630"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0886\u20103350(96)80204\u20105"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2007.10.031"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100420.2007.00879.x"},{"issue":"5","key":"e_1_2_8_8_1","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1016\/j.jcrs.2008.01.015","article-title":"Intraocular lens calculation accuracy limits in normal eyes","volume":"34","author":"Preu\u00dfner PR","year":"2008","journal-title":"J Cataract Refract Surg"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2012.04.031"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40662\u2010023\u201000343\u20104"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0297869"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2011.06.012"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/aos.15726"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo\u20102023\u2010323921"},{"key":"e_1_2_8_15_1","unstructured":"International Organization for Standardization.Ophthalmic implants \u2010 Intraocular lenses \u2010 Part 2: Optical properties and test methods (ISO 11979\u20102:2014); 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