{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T13:38:57Z","timestamp":1793021937686,"version":"4.5.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"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":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare laser refractive retreatment rates between patients with a clinically significant change in refraction (cycloplegic different) following cycloplegia versus those without (cycloplegic similar).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings<\/jats:title>\n                    <jats:p>This retrospective study included consecutive patients who underwent laser in situ keratomileusis (LASIK) or photorefractive keratectomy (PRK) between January 2005 and December 2019 at the Care-Vision Laser Centers, Tel-Aviv, Israel.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Myopic patients were divided into two groups according to whether or not they demonstrated preoperative cycloplegic difference (a hyperopic shift of 0.50D or more following cycloplegia).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Binary logistic regression analysis, was performed to account for potential confounders of retreatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, 14,679 eyes were included in the final analyses. The age of the participants was 27.4\u2009\u00b1\u20097.8 years and 53.2% were male. Of these, 1,458 (9.9%) were cycloplegic different. Overall, 0.62% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200991) of eyes underwent retreatment. The cycloplegic different group had a significantly greater retreatment rate (1.10% versus 0.57%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.01) and eyes which demonstrated cycloplegic difference were 1.94 times more likely (95% CI 1.13 to 3.35) to undergo retreatment. In stepwise binary logistic regression analysis, after accounting for potential confounders (gender, age, central corneal thickness, keratometry, best corrected visual acuity, cylinder, optic zone treatment, treatment type, laser model and ablation depth), cycloplegic difference remained a significant predictor of retreatment (OR = 1.80, 95% CI 1.01\u20133.18,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.04).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A hyperopic shift of 0.50D or more in refraction following cycloplegia in myopic patients undergoing laser refractive surgery is associated with an increased risk for subsequent retreatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721261462374","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T08:03:07Z","timestamp":1781856187000},"page":"1607-1612","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The effect of large differences between cycloplegic and dry refraction on myopic Laser surgery outcomes"],"prefix":"10.1177","volume":"36","author":[{"given":"Nir","family":"Sorkin","sequence":"first","affiliation":[{"name":"Tel-Aviv Medical Center"},{"name":"Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4771-1374","authenticated-orcid":false,"given":"Nir","family":"Gomel","sequence":"additional","affiliation":[{"name":"Tel-Aviv Medical Center"},{"name":"Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Shamay","sequence":"additional","affiliation":[{"name":"Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor","family":"Kaiserman","sequence":"additional","affiliation":[{"name":"Care Vision Laser Centers"},{"name":"Department of Ophthalmology, Barzilai Medical Center, Ashkelon, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tzahi","family":"Sela","sequence":"additional","affiliation":[{"name":"Care Vision Laser Centers"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gur","family":"Munzer","sequence":"additional","affiliation":[{"name":"Care Vision Laser Centers"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4661-0993","authenticated-orcid":false,"given":"Michael","family":"Mimouni","sequence":"additional","affiliation":[{"name":"Care Vision Laser Centers"},{"name":"Rambam Health Care Campus"},{"name":"Bruce and Ruth Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.16-20242"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2016.01.006"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijo.IJO_3503_20"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10792-020-01360-1"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081-597X-20060401-17"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20231212-06"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0000000000000795"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20090301-06"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(02)01981-4"},{"key":"e_1_3_2_11_2","first-page":"2734","article-title":"The utility of cycloplegic refraction: differences between manifest and cycloplegic refractions in a large population","volume":"55","author":"Schallhorn JM","year":"2014","unstructured":"Schallhorn JM, Schallhorn CS, Schallhorn SC. 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