{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T22:47:55Z","timestamp":1780699675926,"version":"3.54.1"},"reference-count":50,"publisher":"Wiley","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Ophthalmology"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. The vision with diffractive toric multifocal intraocular lenses after cataract surgery in long eyes has not been studied previously.<jats:italic>Objectives<\/jats:italic>. To report visual performance after bilateral implantation of a diffractive toric multifocal intraocular lens in high myopes.<jats:italic>Methods<\/jats:italic>. Prospective, observational case series to include patients with axial length of \u226526\u2009mm and corneal astigmatism of &gt;1 dioptre who underwent bilateral AT LISA 909M implantation. Postoperative examinations included photopic and mesopic distance, intermediate, and near visual acuity; photopic contrast sensitivity; visual symptoms (0\u20135); satisfaction (1\u20135); and spectacle independence rate.<jats:italic>Results<\/jats:italic>. Twenty-eight eyes (14 patients) were included. Postoperatively, mean photopic monocular uncorrected distance, intermediate, and near visual acuities (logMAR) were<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mn fontstyle=\"italic\">0.12<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn fontstyle=\"italic\">0.20<\/mml:mn><\/mml:math>(standard deviation),<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mn fontstyle=\"italic\">0.24<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn fontstyle=\"italic\">0.16<\/mml:mn><\/mml:math>, and<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mn fontstyle=\"italic\">0.29<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn fontstyle=\"italic\">0.21<\/mml:mn><\/mml:math>, respectively. Corresponding binocular values were<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\"><mml:mo>-<\/mml:mo><mml:mn fontstyle=\"italic\">0.01<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn fontstyle=\"italic\">0.14<\/mml:mn><\/mml:math>,<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M5\"><mml:mn fontstyle=\"italic\">0.13<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn fontstyle=\"italic\">0.12<\/mml:mn><\/mml:math>, and<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M6\"><mml:mn fontstyle=\"italic\">0.20<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn fontstyle=\"italic\">0.19<\/mml:mn><\/mml:math>, respectively. One eye (4%) had one-line loss in vision. Under mesopic condition, intermediate vision and near vision decreased significantly (all<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M7\"><mml:mi>P<\/mml:mi><mml:mo>\u2264<\/mml:mo><mml:mn fontstyle=\"italic\">0.001<\/mml:mn><\/mml:math>). Contrast sensitivity at all spatial frequencies did not improve significantly under binocular condition (all<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M8\"><mml:mi>P<\/mml:mi><mml:mo>&gt;<\/mml:mo><mml:mn fontstyle=\"italic\">0<\/mml:mn><mml:mo>.<\/mml:mo><mml:mn fontstyle=\"italic\">05<\/mml:mn><\/mml:math>). Median scores for halos, night glare, starbursts, and satisfaction were 0.50, 0.00, 0.00, and 4.25, respectively. Ten patients (71%) reported complete spectacle independence.<jats:italic>Conclusions<\/jats:italic>. Bilateral implantation of the intraocular lens in high myopes appeared to be safe and achieved good visual performance and high satisfaction.<\/jats:p>","DOI":"10.1155\/2016\/5320105","type":"journal-article","created":{"date-parts":[[2016,8,3]],"date-time":"2016-08-03T00:17:57Z","timestamp":1470183477000},"page":"1-12","source":"Crossref","is-referenced-by-count":9,"title":["Visual Performance after Bilateral Implantation of a Four-Haptic Diffractive Toric Multifocal Intraocular Lens in High Myopes"],"prefix":"10.1155","volume":"2016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7687-3807","authenticated-orcid":true,"given":"John S. M.","family":"Chang","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Hong Kong Sanatorium and Hospital, 8\/F, Li Shu Pui Block, Phase II, 2 Village Road, Happy Valley, Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent K. 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