{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T04:54:55Z","timestamp":1793163295811,"version":"4.5.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,7,4]],"date-time":"2023-07-04T00:00:00Z","timestamp":1688428800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To analyze differences in refractive outcome \u0394 (difference between postoperative and expected refractive error) and in anterior segment changes between cataract surgery patients and combined phacovitrectomy patients. We also aimed to provide a corrective formula allowing to minimise the refractive outcome \u0394 in combined surgery patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Candidates for phacoemulsification and combined phacovitrectomy (respectively PHACO and COMBINED groups) were prospectively enrolled in two specialised centres. Patients underwent best corrected visual acuity (BCVA) assessment, ultra-high speed anterior segment optical coherence tomography (OCT), gonioscopy, retinal OCT, slit lamp examination and biometry at baseline, 6 weeks postoperatively and 3 months postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>No differences in refractive \u0394, refractive error and anterior segment parameters were noted between PHACO and COMBINED group (109 and 110 patients respectively) at 6 weeks. At 3 months, COMBINED group showed a spherical equivalent of \u22120.29\u2009\u00b1\u20090.10 D versus \u22120.03\u2009\u00b1\u20090.15 D in PHACO group (p\u2009=\u20090.023). COMBINED group showed a significantly higher Crystalline Lens Rise (CLR), angle-to-angle (ATA) and anterior chamber width (ACW) and a significantly lower anterior chamber depth (ACD) and refractive \u0394 with all 4 considered formulas at 3 months. For IOL power lower than 15, a hyperopic shift was observed instead.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Anterior segment OCT suggests anterior displacement of the effective lens position in patients undergoing phacovitrectomy. A corrective formula can be applied to IOL power calculation to minimize undesired refractive error.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721231184502","type":"journal-article","created":{"date-parts":[[2023,7,4]],"date-time":"2023-07-04T03:23:31Z","timestamp":1688441011000},"page":"549-557","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Refractive outcome in combined phacovitrectomy: Anterior segment changes and corrective factor for IOL power calculation improvement"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9996-9871","authenticated-orcid":false,"given":"Emanuele","family":"Crincoli","sequence":"first","affiliation":[{"name":"Ophthalmology Unit, \u201cFondazione Policlinico Universitario A. Gemelli IRCCS\u201d, Rome, Italy"},{"name":"Fondazione Policlinico Universitario A Gemelli, Catholic University of \u201cSacro Cuore\u201d, Rome, Italy"},{"name":"Department of Ophthalmology, Centre Hospitalier Intercommunal de Cr\u00e9teil, Verona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1575-6567","authenticated-orcid":false,"given":"Alfonso","family":"Savastano","sequence":"additional","affiliation":[{"name":"Ophthalmology Unit, \u201cFondazione Policlinico Universitario A. Gemelli IRCCS\u201d, Rome, Italy"},{"name":"Fondazione Policlinico Universitario A Gemelli, Catholic University of \u201cSacro Cuore\u201d, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5936-0129","authenticated-orcid":false,"given":"Silvia","family":"Ferrara","sequence":"additional","affiliation":[{"name":"Ophthalmology Unit, \u201cFondazione Policlinico Universitario A. Gemelli IRCCS\u201d, Rome, Italy"},{"name":"Fondazione Policlinico Universitario A Gemelli, Catholic University of \u201cSacro Cuore\u201d, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomaso","family":"Caporossi","sequence":"additional","affiliation":[{"name":"Ophthalmology Unit, \u201cFondazione Policlinico Universitario A. Gemelli IRCCS\u201d, Rome, Italy"},{"name":"Fondazione Policlinico Universitario A Gemelli, Catholic University of \u201cSacro Cuore\u201d, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4123-8210","authenticated-orcid":false,"given":"Alexandra","family":"Miere","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Centre Hospitalier Intercommunal de Cr\u00e9teil, Verona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric H","family":"Souied","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Centre Hospitalier Intercommunal de Cr\u00e9teil, Verona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1397-4333","authenticated-orcid":false,"given":"Maria Cristina","family":"Savastano","sequence":"additional","affiliation":[{"name":"Ophthalmology Unit, \u201cFondazione Policlinico Universitario A. 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