{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T12:49:48Z","timestamp":1765370988642,"version":"3.46.0"},"reference-count":30,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T00:00:00Z","timestamp":1756252800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T00:00:00Z","timestamp":1756252800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ophthalmic Res"],"abstract":"<jats:p>&lt;p&gt;Introduction: This study aimed to assess visual and refractive outcomes and cost-utility of toric intraocular lens (IOL) implantation in cataract patients over 80 with corneal astigmatism. Methods: Patients \u226580 years with corneal astigmatism \u22651.50 diopters (D) who underwent cataract surgery with toric or monofocal IOLs were enrolled. Uncorrected distance visual acuity (UDVA) and residual refractive astigmatism at the 3-month postoperative follow-up were compared between the toric and non-toric groups. Cost data were gathered, long-term quality-adjusted life years (QALYs) were calculated, and the incremental cost-effectiveness ratio (ICER) was determined. Results: The study included 50 eyes from 50 patients, with 25 eyes receiving toric IOLs and the remaining 25 receiving non-toric IOLs. Three months after surgery, both the mean UDVA (p &lt; 0.0001) and the mean residual refractive astigmatism (p &lt; 0.0001) in the toric group significantly outperformed those in the non-toric group. An average of 4.04 \u00b1 0.25 QALYs were obtained in the toric group through cataract surgery, while 3.78 \u00b1 0.26 QALYs were obtained in the non-toric group. The median ICER stood at CNY 11,222 (USD 1,753) per QALY (95% CI: CNY 5,840\u223c25,295 [USD 913\u223c3,952] per QALY), which was lower than the threshold of cost-effectiveness in China (CNY 80,976 [USD 12,653] per QALY). Conclusion: In cataract patients aged over 80 with corneal astigmatism and no complicating vision-threatening conditions, toric IOL implantation not only improved UDVA and reduced residual astigmatism but also emerged as a cost-effective intervention compared with non-toric IOL implantation. &lt;\/p&gt;<\/jats:p>","DOI":"10.1159\/000547708","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T09:17:26Z","timestamp":1765358246000},"page":"475-484","source":"Crossref","is-referenced-by-count":0,"title":["Visual Outcomes and Cost-Utility Analyses of Toric Intraocular Lens Implantation in Cataract Patients over 80 with Corneal Astigmatism: A Retrospective Cohort Study"],"prefix":"10.1159","volume":"68","author":[{"given":"Jiaqi","family":"Sun","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baojiang","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bijun","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuyu","family":"Miao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qian","family":"Sun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huiyi","family":"Jin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Senlin","family":"Lin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6831-7560","authenticated-orcid":false,"given":"Haidong","family":"Zou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yingyan","family":"Ma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2025,8,27]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.08.010804"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2008.151829"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1097\/OPX.0000000000001998"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0000000000002507"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/s0161-6420(97)30266-8"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/536412"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.4103\/ijo.IJO_810_17"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2015.10.002"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph191811485"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.3760\/cma.j.cn112142-20200211-00056"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.2165\/00002512-200118020-00003"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/s0039-6257(02)00457-5"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.3310\/hta3020"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2006.12.013"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-021-06862-x"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2016.10.023"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/s0161-6420(02)01286-1"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1080\/02713683.2023.2260961"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1007\/s40123-023-00683-3"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20100526-01"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.18240\/ijo.2024.07.23"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1007\/s40123-023-00678-0"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1001\/archophthalmol.2010.127"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2018.09.019"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics14242862"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjo.2016.10.009"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1007\/s10792-011-9471-7"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2013.01.037"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1097\/j.jcrs.0000000000001373"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1007\/s00417-023-06232-9"}],"container-title":["Ophthalmic 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