{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T10:18:54Z","timestamp":1787653134216,"version":"build-2736575974"},"reference-count":9,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T00:00:00Z","timestamp":1776384000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T00:00:00Z","timestamp":1776384000000},"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":[[2026,9]]},"abstract":"\n Purpose<\/jats:title>\n To evaluate the long-term outcomes of a simultaneous lenticule rotation and excimer laser ablation for high hyperopic astigmatism, a technique addressing otherwise untreatable refractive errors.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A 41-year-old female patient with a high refractive error (+3.75\/\u22125.50 D) in her left eye underwent femtosecond laser-assisted FLEx, lenticule rotation, and excimer laser ablation. The procedure was performed to correct high astigmatism, which could not be treated with standard laser correction or phakic IOL implantation. Treatment parameters were adjusted to compensate for myopic shift due to centripetal lenticule shrinkage. Postoperative evaluations occurred at 3 months, 1 year, and 2 years.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Refractive astigmatism was reduced by >5.0 D, with corneal astigmatism decreasing by 3.7 D. The lenticule integrated well without distortions. Minor epithelial remodeling occurred, but no structural complications were observed. The patient achieved stable visual acuity and high satisfaction over 2 years.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n This technique provides a stable, reversible alternative for high hyperopic astigmatism, preserving accommodation and avoiding refractive lens exchange. Corneal lenticule surgery may offer a viable option for patients with extreme hyperopic astigmatism. Further clinical studies are warranted to confirm its long-term efficacy\n .<\/jats:bold>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/11206721261444825","type":"journal-article","created":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T14:27:14Z","timestamp":1776436034000},"page":"1458-1463","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Autologous astigmatic corneal lenticule rotation with stromal excimer ablation for high hyperopic astigmatism: 2-year follow-up"],"prefix":"10.1177","volume":"36","author":[{"given":"Walter","family":"Sekundo","sequence":"first","affiliation":[{"name":"University Hospital Marburg (UKGM), Philipps University of Marburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suphi","family":"Taneri","sequence":"additional","affiliation":[{"name":"Center for Refractive Surgery"},{"name":"Ruhr-University Bochum, Bochum, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3465-1579","authenticated-orcid":false,"given":"Xingtao","family":"Zhou","sequence":"additional","affiliation":[{"name":"Eye & ENT Hospital, Fudan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5690-1578","authenticated-orcid":false,"given":"Anke","family":"Messerschmidt-Roth","sequence":"additional","affiliation":[{"name":"University Hospital Marburg (UKGM), Philipps University of Marburg"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,17]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2008.05.033"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20160726-01"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40123-023-00765-2"},{"key":"e_1_3_3_5_2","first-page":"760","article-title":"SMILE for hyperopia with and without astigmatism: Results of a prospective multicenter 12-month study","volume":"38","author":"Reinstein DZ","year":"2022","unstructured":"Reinstein DZ, Sekundo W, Archer TJ, et al. SMILE for hyperopia with and without astigmatism: Results of a prospective multicenter 12-month study. J Refract Surg Thorofare NJ 1995 2022; 38: 760\u2013769.","journal-title":"J Refract Surg Thorofare NJ 1995"},{"key":"e_1_3_3_6_2","first-page":"451","article-title":"Intrastromal lenticule rotation for treatment of astigmatism up to 10.00 diopters ex vivo in human corneas","volume":"35","author":"Damgaard IB","year":"2019","unstructured":"Damgaard IB, Ivarsen A, Hjortdal J. Intrastromal lenticule rotation for treatment of astigmatism up to 10.00 diopters ex vivo in human corneas. J Refract Surg Thorofare NJ 1995 2019; 35: 451\u2013458.","journal-title":"J Refract Surg Thorofare NJ 1995"},{"key":"e_1_3_3_7_2","first-page":"415","article-title":"Intrastromal lenticule rotation for the treatment of high astigmatism","volume":"36","author":"Stodulka P","year":"2020","unstructured":"Stodulka P, Hjortdal J, Slovak M. Intrastromal lenticule rotation for the treatment of high astigmatism. J Refract Surg Thorofare NJ 1995 2020; 36: 415\u2013418.","journal-title":"J Refract Surg Thorofare NJ 1995"},{"key":"e_1_3_3_8_2","article-title":"Correction of high astigmatism by autologous astigmatic lenticule reshaping and rotation","volume":"40","author":"Shang J","year":"2024","unstructured":"Shang J, Wang X, Xu H, et al. Correction of high astigmatism by autologous astigmatic lenticule reshaping and rotation. J Refract Surg Thorofare NJ 1995 2024; 40: e554\u2013e561.","journal-title":"J Refract Surg Thorofare NJ 1995"},{"key":"e_1_3_3_9_2","article-title":"Corneal stromal lenticule rotation for high astigmatism correction","volume":"41","author":"Stodulka P","year":"2025","unstructured":"Stodulka P, Rand\u00e1rov\u00e1 E, Slov\u00e1k M, et al. Corneal stromal lenticule rotation for high astigmatism correction. J Refract Surg Thorofare NJ 1995 2025; 41: e5\u2013e13.","journal-title":"J Refract Surg Thorofare NJ 1995"},{"key":"e_1_3_3_10_2","unstructured":"Taneri S F\u00f6rster A Dick HB. Intrastromal lenticule rotation to correct high hyperopic-astigmatism in young patients."}],"container-title":["European Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11206721261444825","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11206721261444825","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11206721261444825","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T09:25:08Z","timestamp":1787649908000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11206721261444825"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,17]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/11206721261444825"],"URL":"https:\/\/doi.org\/10.1177\/11206721261444825","relation":{},"ISSN":["1120-6721","1724-6016"],"issn-type":[{"value":"1120-6721","type":"print"},{"value":"1724-6016","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,17]]}}}