{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T14:20:32Z","timestamp":1774621232801,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"vor","delay-in-days":21,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82171095"],"award-info":[{"award-number":["82171095"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010098","name":"Shanghai Association for Science and Technology","doi-asserted-by":"publisher","award":["23XD1400500"],"award-info":[{"award-number":["23XD1400500"]}],"id":[{"id":"10.13039\/100010098","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Ophthalmology"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study evaluated the impact of clear corneal incision (CCI) morphology on corneal endothelial cell density (ECD), astigmatism, and higher\u2010order aberrations (HOAs) following implantable collamer lens (ICL) implantation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Sixty\u2010five patients (65 eyes) undergoing ICL implantation were included. CCI characteristics were assessed with the AS\u2010OCT CASIA 2, and HOAs were measured using the Pentacam. Corneal astigmatism changes were analyzed using Aplin\u2019s vector analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study divided the eyes into two groups: intact incision (29 eyes, with well\u2010aligned wound architecture) and defective incision (36 eyes, with misaligned incision planes or endothelial gaps). At 3\u2009months postoperatively, corneal thickness at the incision exit (CT\u2010Ex) was significantly different between the groups (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.038). The incision exit angle (Angle\u2010Ex) also differed significantly at 1\u2009month (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.023) and 3\u2009months (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.022). The defective incision group showed increases in incision length (IL) and the distance from the entry incision to the center (Dis\u2010En) between 1 and 3\u2009months (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.006 and\n                      <jats:italic>p<\/jats:italic>\n                      = 0.034, respectively). Both groups showed significant reductions in CT\u2010Ex, CT\u2010En, and Angle\u2010Ex at 3\u2009months. In the defective incision group, trefoil, quadrafoil, and spherical aberrations increased significantly (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05) while ECD decreased significantly (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Shorter IL and smaller exit angle during ICL surgery increase the risk of forming defective incisions, leading to more HOAs and greater ECD loss within the 3\u2010month postoperative period.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/joph\/8721135","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T06:12:52Z","timestamp":1769148772000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of Corneal Incision Features on Corneal Endothelial Cell, Astigmatism, and Higher\u2010Order Aberrations After Implantable Collamer Lens Implantation"],"prefix":"10.1155","volume":"2026","author":[{"given":"I-Chun","family":"Lin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mingrui","family":"Cheng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mingwei","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yinjie","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guanghan","family":"Xu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yadi","family":"Lei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhiwei","family":"Mao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rui","family":"Ning","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1846-0605","authenticated-orcid":false,"given":"Xun","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5419-6318","authenticated-orcid":false,"given":"Xiaoying","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"key":"e_1_2_14_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2016.01.006"},{"key":"e_1_2_14_2_2","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S111620"},{"key":"e_1_2_14_3_2","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S188785"},{"key":"e_1_2_14_4_2","doi-asserted-by":"publisher","DOI":"10.21037\/atm-22-107"},{"key":"e_1_2_14_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/aos.14459"},{"key":"e_1_2_14_6_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20111018-02"},{"key":"e_1_2_14_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0b013e31802cbf3c"},{"key":"e_1_2_14_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/02713683.2019.1701690"},{"key":"e_1_2_14_9_2","unstructured":"Journal of Refractive Surgery Change in Anterior and Posterior Curvature After Cataract Surgery"},{"key":"e_1_2_14_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2017.10.037"},{"key":"e_1_2_14_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/aos.14778"},{"key":"e_1_2_14_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12886-021-02131-x"},{"key":"e_1_2_14_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00417-024-06730-4"},{"key":"e_1_2_14_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2023.11.008"},{"key":"e_1_2_14_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2003.10.010"},{"key":"e_1_2_14_16_2","doi-asserted-by":"publisher","DOI":"10.1364\/OE.11.003254"},{"key":"e_1_2_14_17_2","unstructured":"Journal of Refractive Surgery 2024 Femtosecond Laser Versus Manual Clear Corneal Incision in Cataract Surgery"},{"key":"e_1_2_14_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.jcrs.0000000000001389"}],"container-title":["Journal of 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