{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T09:34:00Z","timestamp":1780047240609,"version":"3.53.1"},"reference-count":24,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,10,2]],"date-time":"2020-10-02T00:00:00Z","timestamp":1601596800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Asociaci\u00f3n para Evitar la Ceguera en M\u00e9xico I.A.P.","award":["SA-19-01"],"award-info":[{"award-number":["SA-19-01"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To determine the refractive stability of patients with keratoconus and cataracts after the implantation of a toric intraocular lens.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This is a cross-sectional, retrospectivestudy. Clinical records from patients with non-progressive keratoconus and cataracts that underwent non-complicated phacoemulsification with toric IOL implantation were reviewed. Mean keratometry (Km), refractive cylinder (RC), spherical equivalent (SE), steeper keratometry (K), and axis were evaluated at the 1-month, 6-month, 12-month, and 24-month follow-up visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Fifty-four eyes from 41 patients were included. Thirty-seven (68.5%) female and 17 (31.5%) male patients, with a mean age of 67.52 \u00b1 8.22. Refractive cylinder at postoperative 30\u2009days was \u22121.61\u2009\u00b1\u20091.23, 6-month \u22121.22\u2009\u00b1\u20090.80, 12-month \u22121.10\u2009\u00b1\u20090.83 and 24-month visit after surgery was \u22121.37\u2009\u00b1\u20090.77( p\u2009=\u20090.290). SE at the 30-day visit was \u22120.82\u2009\u00b1\u20091.90, 6-month \u22120.64\u2009\u00b1\u20091.23, 12-month \u22120.78\u2009\u00b1\u20091.91 and at 24-month postoperative visit \u22121.02\u2009\u00b1\u20091.87 ( p\u2009=\u20090.210). Km value at the 1-month visit was 47.23\u2009\u00b1\u20091.95, 6-month 47.87\u2009\u00b1\u20091.61, 12-month 46.39\u2009\u00b1\u20092.52 and 24-month postoperative visit 46.92\u2009\u00b1\u20091.26 ( p\u2009=\u20090.877). The steeper K axis in the 30-day control was 78.53\u2009\u00b1\u200930.12, 6-month 77.29\u00b1 37.68, 1-year 93.13\u2009\u00b1\u200962.42, 24-month 67.31\u2009\u00b1\u200938.49 ( p\u2009=\u20090.632).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Our findings suggest a low variation in the refractive outcome for patients with mild and moderate keratoconus and cataracts, without evident progression signals, a demonstrated keratoconus clinical stability. No statistically significant postoperative changes in the refractive cylinder, SE, mean K, and steeper K axis were observed, which suggests good predictability for toric IOL implant.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1120672120960585","type":"journal-article","created":{"date-parts":[[2020,10,3]],"date-time":"2020-10-03T02:24:13Z","timestamp":1601691853000},"page":"1532-1539","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Long-term refractive outcomes in patients with cataracts and keratoconus after phacoemulsification with toric intraocular lens implant"],"prefix":"10.1177","volume":"31","author":[{"given":"Erika","family":"Fern\u00e1ndez-Mu\u00f1oz","sequence":"first","affiliation":[{"name":"Anterior Segment Surgery Department, Asociaci\u00f3n para Evitar la Ceguera, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Blanco-G\u00f3mez","sequence":"additional","affiliation":[{"name":"Anterior Segment Surgery Department, Asociaci\u00f3n para Evitar la Ceguera, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael","family":"V\u00e1zquez-Rojas","sequence":"additional","affiliation":[{"name":"Anterior Segment Surgery Department, Asociaci\u00f3n para Evitar la Ceguera, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katia","family":"Camargo-Ibarias","sequence":"additional","affiliation":[{"name":"Anterior Segment Surgery Department, Asociaci\u00f3n para Evitar la Ceguera, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martha","family":"Massaro-Corredor","sequence":"additional","affiliation":[{"name":"Research Department, Asociaci\u00f3n para Evitar la Ceguera, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6654-5191","authenticated-orcid":false,"given":"Roberto","family":"Gonzalez-Salinas","sequence":"additional","affiliation":[{"name":"Research Department, Asociaci\u00f3n para Evitar la Ceguera, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,10,2]]},"reference":[{"key":"bibr1-1120672120960585","doi-asserted-by":"publisher","DOI":"10.1006\/exer.1999.0719"},{"key":"bibr2-1120672120960585","volume":"2016","author":"Ionescu C","year":"2016","journal-title":"J Ophthalmol"},{"issue":"1","key":"bibr3-1120672120960585","first-page":"95","volume":"7","author":"Bravo Vanegas SM","year":"2009","journal-title":"Cienc Tecnol Salud Vis Ocul"},{"key":"bibr4-1120672120960585","doi-asserted-by":"publisher","DOI":"10.1186\/s40662-016-0033-y"},{"key":"bibr5-1120672120960585","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0b013e31820009d4"},{"key":"bibr6-1120672120960585","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0000000000000408"},{"key":"bibr7-1120672120960585","doi-asserted-by":"publisher","DOI":"10.1007\/s10792-018-0995-y"},{"key":"bibr8-1120672120960585","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2014.08.036"},{"key":"bibr9-1120672120960585","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-20040-w"},{"key":"bibr10-1120672120960585","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2014.08.043"},{"key":"bibr11-1120672120960585","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2016.12.003"},{"key":"bibr12-1120672120960585","unstructured":"Alcon Inc. 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