{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T08:57:10Z","timestamp":1790499430463,"version":"4.1.0"},"reference-count":22,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate refractive and tomographical outcomes following Custom-Q without Q-adjustment and wavefront-optimized (WFO) photorefractive keratectomy (PRK) for myopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective, comparative study included 46 eyes in the Custom-Q group and 40 eyes in the WFO group who underwent PRK for myopia and\/or myopic astigmatism. Planned central ablation depth (CAD), total laser pulses (from WaveLight EX500), and corneal thickness (CT) changes at central, paracentral (3.0\u2005mm), and mid-peripheral (6.0\u2005mm) zones (from Sirius tomography) were recorded with visual, refractive, and topographic outcomes preoperatively and at 6 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Postoperative sphere was closer to emmetropia in the Custom-Q group (0.041\u2009\u00b1\u20090.17 D vs. \u22120.089\u2009\u00b1\u20090.30 D, p\u2009=\u20090.024), and postoperative flat keratometry was lower than in the WFO group (p\u2009=\u20090.045). For 1.00 D spherical equivalent (SE) correction, Custom-Q resulted in lower planned CAD, less CT change across all zones, and fewer laser pulses than WFO (p\u2009&lt;\u20090.05 for all). Both groups showed comparable safety and efficacy indexes (&gt;1.0), similar significant oblate shift, increased root-mean-square of higher-order aberrations\n                      <jats:sub>6mm<\/jats:sub>\n                      (RMS-HOAs\n                      <jats:sub>6mm<\/jats:sub>\n                      ), with no significant change in HOAs\n                      <jats:sub>3mm<\/jats:sub>\n                      (p\u2009&gt;\u20090.05 for all), while spherical aberration\n                      <jats:sub>6mm<\/jats:sub>\n                      decreased more in the Custom-Q group (\u22120.080\u2009\u00b1\u20090.096 vs. \u22120.040\u2009\u00b1\u20090.102, p\u2009=\u20090.024, respectively). There was a significant correlation between preoperative SE and changes in asphericity\n                      <jats:sub>6mm<\/jats:sub>\n                      (r\u2009=\u2009\u22120.853, p\u2009&lt;\u20090.001), RMS-HOAs\n                      <jats:sub>6mm<\/jats:sub>\n                      (r\u2009=\u2009\u22120.430, p\u2009=\u20090.008), and spherical aberration\n                      <jats:sub>6mm<\/jats:sub>\n                      (r\u2009=\u20090.632, p\u2009&lt;\u20090.001) in the Custom-Q group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Custom-Q without Q-adjustment is an effective and safe option for myopic PRK, achieving better refractive precision and lower CT reduction per diopter than WFO, with improved control of spherical aberration despite comparable increases in asphericity and RMS-HOAs\n                      <jats:sub>6mm<\/jats:sub>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721261488875","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T12:48:18Z","timestamp":1790254098000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Refractive and corneal analyses after custom-Q versus wavefront-optimized ablation in photorefractive keratectomy for myopia"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3709-3955","authenticated-orcid":false,"given":"Burak","family":"Tanriverdi","sequence":"first","affiliation":[{"name":"Lokman Hekim University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3845-066X","authenticated-orcid":false,"given":"Nurullah","family":"Cagil","sequence":"additional","affiliation":[{"name":"Lokman Hekim University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2016.01.006"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(02)01499-2"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20120217-01"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-72263-4_3"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20081001-03"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-72263-4"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597x-20140903-10"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40662-022-00312-3"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20230925-03"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20221005-01"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10792-013-9828-1"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S300232"},{"key":"e_1_3_2_14_2","first-page":"133","article-title":"Custom-Q versus wavefront optimized photorefractive keratectomy for myopia with or without astigmatism correction","volume":"45","author":"Sim\u00e3o JM","year":"2021","unstructured":"Sim\u00e3o JM, Os\u00f3rio I, Neves E, et al. Custom-Q versus wavefront optimized photorefractive keratectomy for myopia with or without astigmatism correction. Revista Sociedade Portuguesa de Oftalmologia 2021; 45: 133\u2013140.","journal-title":"Revista Sociedade Portuguesa de Oftalmologia"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/112067210901900405"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/02713683.2018.1501802"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-71604-y"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/ico.0000000000000035"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40123-021-00392-9"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2006.01.049"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40662-024-00404-2"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pdpdt.2025.104570"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20150623-02"}],"container-title":["European Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11206721261488875","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11206721261488875","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11206721261488875","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T08:20:07Z","timestamp":1790497207000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11206721261488875"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,24]]},"references-count":22,"alternative-id":["10.1177\/11206721261488875"],"URL":"https:\/\/doi.org\/10.1177\/11206721261488875","relation":{},"ISSN":["1120-6721","1724-6016"],"issn-type":[{"value":"1120-6721","type":"print"},{"value":"1724-6016","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,24]]},"article-number":"11206721261488875"}}