{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T04:16:11Z","timestamp":1772165771414,"version":"3.50.1"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,5,25]],"date-time":"2020-05-25T00:00:00Z","timestamp":1590364800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,5,25]],"date-time":"2020-05-25T00:00:00Z","timestamp":1590364800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Key Research and Development Plan of Zhejiang Province Science and Technology Hall","award":["2017C03046"],"award-info":[{"award-number":["2017C03046"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Ophthalmol"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>A major focus of toric intraocular lens (IOL) implantation is the rotational stability, especially in the patients with long axial length (AL). In this study, we aimed to evaluate the clinical outcomes after implantation of TECNIS toric IOL in eyes with long AL and identify factors influencing their early-stage stability with preoperative corneal astigmatism.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study population consisted of 64 eyes from 52 cataract patients, and these patients had preoperative corneal astigmatism between 1.0 and 3.7 diopters (D) and underwent phacoemulsification and TECNIS toric IOL implantation. Ophthalmic biological measurements were carried out preoperatively, including AL, anterior chamber depth (ACD), lens thickness (LT), vitreous length (VL), anterior chamber volume (ACV), sulcus-to-sulcus (STS) and keratometric value (K). Clinical examinations, including visual acuity, manifest refraction, keratometry, digital anterior segment photographs with pupillary dilation, were performed at 1 and 3\u2009months after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean best corrected distance visual acuity (BCDVA) was improved from 0.93\u2009\u00b1\u20090.35 logarithms of the minimal angle of resolution (logMAR) preoperatively to 0.07\u2009\u00b1\u20090.10 logMAR postoperatively at 3\u2009months after surgery. The mean residual astigmatism (RAS) was 0.91\u2009\u00b1\u20090.74D at 3\u2009months, which was significantly decreased compared with the preoperative corneal astigmatism of 1.71\u2009\u00b1\u20090.55 D. The mean absolute rotation of TECNIS toric IOL at 1 and 3\u2009months was 7.42\u2009\u00b1\u200911.32 degree (\u00b0) (0\u201379\u00b0) and 7.48\u2009\u00b1\u200911.19\u00b0(0\u201379\u00b0), respectively. The mean area of capsulorhexis and the overlapped area between capsulorhexis and IOL optic intraoperatively was 21.04\u2009\u00b1\u20093.30\u2009mm\n                      <jats:sup>2<\/jats:sup>\n                      and 7.40\u2009\u00b1\u20092.87\u2009mm\n                      <jats:sup>2<\/jats:sup>\n                      .A positive correlation was found between IOL rotation and the area of capsulorhexis (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.017) at 3\u2009months after surgery. No correlation was found between IOL rotation and AL (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.876), ACD (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.387), LT (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.523), VL (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.546), ACV (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.480), STS (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.884), K1 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.429), K2 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.644), average of K1 and K2 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.520), intraoperative IOL axial direction (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.396), preoperative corneal astigmatism (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.269) or the overlapped area between capsulorhexis and IOL optic intraoperatively (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.131) .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The large CCC was a risk factor for toric IOL rotation. An appropriately smaller sized CCC was conducive to increase the rotational stability of TECNIS toric IOL implantation in cataract cases with long AL.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12886-020-01465-2","type":"journal-article","created":{"date-parts":[[2020,5,25]],"date-time":"2020-05-25T10:02:58Z","timestamp":1590400978000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Early-stage clinical outcomes and rotational stability of TECNIS toric intraocular lens implantation in cataract cases with long axial length"],"prefix":"10.1186","volume":"20","author":[{"given":"Suhong","family":"He","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiang","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xingdi","family":"Wu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yajuan","family":"Ma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xuewen","family":"Yu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6277-7136","authenticated-orcid":false,"given":"Wen","family":"Xu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,5,25]]},"reference":[{"key":"1465_CR1","doi-asserted-by":"publisher","first-page":"1071","DOI":"10.2147\/OPTH.S148599","volume":"12","author":"F Bandeira","year":"2018","unstructured":"Bandeira F, Morral M, Elies D, Eguiza S, Souki S, Manero F, et al. Transitional conic toric intraocular lens for the management of corneal astigmatism in cataract surgery. Clin Ophthalmol. 2018;12:1071\u20139.","journal-title":"Clin Ophthalmol"},{"issue":"1","key":"1465_CR2","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1186\/s12886-018-0823-1","volume":"18","author":"J Wang","year":"2018","unstructured":"Wang J, Zhao J, Xu J, Zhang J. Evaluation of the effectiveness of combined femtosecond laser-assisted cataract surgery and femtosecond laser astigmatic keratotomy in improving post-operative visual outcomes. BMC Ophthalmol. 2018;18(1):161.","journal-title":"BMC Ophthalmol"},{"key":"1465_CR3","doi-asserted-by":"publisher","first-page":"1581","DOI":"10.2147\/OPTH.S89024","volume":"9","author":"G Monaco","year":"2015","unstructured":"Monaco G, Scialdone A. Long-term outcomes of limbal relaxing incisions during cataract surgery: aberrometric analysis. Clin Ophthalmol. 2015;9:1581\u20137.","journal-title":"Clin Ophthalmol"},{"issue":"2","key":"1465_CR4","doi-asserted-by":"publisher","first-page":"162","DOI":"10.4103\/2008-322X.183924","volume":"11","author":"H Mohammad-Rabei","year":"2016","unstructured":"Mohammad-Rabei H, Mohammad-Rabei E, Espandar G, Javadi MA, Jafarinasab MR, Hashemian SJ, et al. Three methods for correction of astigmatism during phacoemulsification. J Ophthalmic Vis Res. 2016;11(2):162\u20137.","journal-title":"J Ophthalmic Vis Res"},{"issue":"2","key":"1465_CR5","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1136\/bjophthalmol-2015-306656","volume":"100","author":"X Zhu","year":"2016","unstructured":"Zhu X, He W, Zhang K, Lu Y. Factors influencing 1-year rotational stability of AcrySofToric intraocular lenses. Br J Ophthalmol. 2016;100(2):263\u20138.","journal-title":"Br J Ophthalmol"},{"issue":"10","key":"1465_CR6","doi-asserted-by":"publisher","first-page":"1376","DOI":"10.1016\/S0886-3350(99)00204-7","volume":"25","author":"C Vass","year":"1999","unstructured":"Vass C, Menapace R, Schmetterer K, Findl O, Rainer G, Steineck I. Prediction of pseudophakic capsular bag diameter based on biometric variables. J Cataract Refract Surg. 1999;25(10):1376\u201381.","journal-title":"J Cataract Refract Surg"},{"issue":"1","key":"1465_CR7","doi-asserted-by":"publisher","first-page":"38","DOI":"10.4103\/0974-620X.149865","volume":"8","author":"MI Khan","year":"2015","unstructured":"Khan MI, Ch'ng SW, Muhtaseb M. The use of toric intraocular lens to correct astigmatism at the time of cataract surgery. Oman J Ophthalmol. 2015;8(1):38\u201343.","journal-title":"Oman J Ophthalmol"},{"issue":"9","key":"1465_CR8","doi-asserted-by":"publisher","first-page":"1479","DOI":"10.1016\/j.jcrs.2013.12.024","volume":"40","author":"R Mencucci","year":"2014","unstructured":"Mencucci R, Favuzza E, Guerra F, Giacomelli G, Menchini U. Clinical outcomes and rotational stability of a 4-haptic toric intraocular lens in myopic eyes. J Cataract Refract Surg. 2014;40(9):1479\u201387.","journal-title":"J Cataract Refract Surg"},{"issue":"3","key":"1465_CR9","doi-asserted-by":"publisher","first-page":"474","DOI":"10.1038\/s41433-019-0521-0","volume":"34","author":"S Li","year":"2019","unstructured":"Li S, Li X, He S, Zheng Q, Chen X, Wu X, et al. Early postoperative rotational stability and its related factors of a single-piece acrylic toric intraocular lens. Eye (Lond). 2019;34(3):474.","journal-title":"Eye (Lond)"},{"issue":"10","key":"1465_CR10","doi-asserted-by":"publisher","first-page":"1654","DOI":"10.1016\/j.jcrs.2014.01.044","volume":"40","author":"T Miyake","year":"2014","unstructured":"Miyake T, Kamiya K, Amano R, Iida Y, Tsunehiro S, Shimizu K. Long-term clinical outcomes of toric intraocular lens implantation in cataract cases with preexisting astigmatism. J Cataract Refract Surg. 2014;40(10):1654\u201360.","journal-title":"J Cataract Refract Surg"},{"issue":"1","key":"1465_CR11","doi-asserted-by":"publisher","first-page":"292","DOI":"10.1186\/s12886-018-0955-3","volume":"18","author":"NY Jung","year":"2018","unstructured":"Jung NY, Lim DH, Hwang SS, Hyun J, Chung TY. Comparison of clinical outcomes of toric intraocular lens, Precizon vs Tecnis: a single center randomized controlled trial. BMC Ophthalmol. 2018;18(1):292.","journal-title":"BMC Ophthalmol"},{"issue":"5","key":"1465_CR12","doi-asserted-by":"publisher","first-page":"636","DOI":"10.1590\/S0004-27492009000500007","volume":"72","author":"RJ Correia","year":"2009","unstructured":"Correia RJ, Moreira H, Netto SU, Pantaleao GR. Visual performance after toric IOL implantation in patients with corneal astigmatism. Arq Bras Oftalmol. 2009;72(5):636\u201340.","journal-title":"Arq Bras Oftalmol"},{"issue":"5","key":"1465_CR13","doi-asserted-by":"publisher","first-page":"686","DOI":"10.1016\/j.jcrs.2012.11.029","volume":"39","author":"Y Nakano","year":"2013","unstructured":"Nakano Y, Nomoto H, Fukuda K, Yamaji H, Fujita T, Inoue Y, et al. Combined 25-gauge vitrectomy and cataract surgery with toric intraocular lens with idiopathic epiretinal membrane. J Cataract Refract Surg. 2013;39(5):686\u201393.","journal-title":"J Cataract Refract Surg"},{"issue":"1","key":"1465_CR14","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1016\/j.ophtha.2014.06.027","volume":"122","author":"KL Waltz","year":"2015","unstructured":"Waltz KL, Featherstone K, Tsai L, Trentacost D. Clinical outcomes of TECNIS toric intraocular lens implantation after cataract removal in patients with corneal astigmatism. Ophthalmology. 2015;122(1):39\u201347.","journal-title":"Ophthalmology"},{"issue":"2","key":"1465_CR15","doi-asserted-by":"publisher","first-page":"405","DOI":"10.1016\/j.ajo.2013.09.032","volume":"157","author":"N Hirnschall","year":"2014","unstructured":"Hirnschall N, Maedel S, Weber M, Findl O. Rotational stability of a single-piece toric acrylic intraocular lens: a pilot study. Am J Ophthalmol. 2014;157(2):405\u201311 e401.","journal-title":"Am J Ophthalmol"},{"issue":"6","key":"1465_CR16","first-page":"796","volume":"234","author":"M Grohlich","year":"2017","unstructured":"Grohlich M, Mihaltz K, Lasta M, Weingessel B. Vecsei-Marlovits V: [evaluation of postoperative astigmatism correction and postoperative rotational stability of two Toric intraocular lenses]. KlinMonblAugenheilkd. 2017;234(6):796\u2013804.","journal-title":"KlinMonblAugenheilkd"},{"issue":"2","key":"1465_CR17","doi-asserted-by":"publisher","first-page":"84","DOI":"10.3928\/1081597X-20171211-01","volume":"34","author":"K Vandekerckhove","year":"2018","unstructured":"Vandekerckhove K. Rotational stability of Monofocal and trifocal intraocular Toric lenses with identical design and material but different surface treatment. J Refract Surg. 2018;34(2):84\u201391.","journal-title":"J Refract Surg"},{"issue":"11","key":"1465_CR18","doi-asserted-by":"publisher","first-page":"1842","DOI":"10.1016\/j.jcrs.2008.07.012","volume":"34","author":"DF Chang","year":"2008","unstructured":"Chang DF. Comparative rotational stability of single-piece open-loop acrylic and plate-haptic silicone toric intraocular lenses. J Cataract Refract Surg. 2008;34(11):1842\u20137.","journal-title":"J Cataract Refract Surg"},{"issue":"1","key":"1465_CR19","first-page":"47","volume":"11","author":"C Novis","year":"2000","unstructured":"Novis C. Astigmatism and toric intraocular lenses. CurrOpinOphthalmol. 2000;11(1):47\u201350.","journal-title":"CurrOpinOphthalmol"},{"issue":"3","key":"1465_CR20","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1016\/j.clae.2011.02.001","volume":"34","author":"TB Edrington","year":"2011","unstructured":"Edrington TB. A literature review: the impact of rotational stabilization methods on toric soft contact lens performance. Cont Lens Anterior Eye. 2011;34(3):104\u201310.","journal-title":"Cont Lens Anterior Eye"},{"issue":"1","key":"1465_CR21","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1016\/j.jcrs.2011.08.028","volume":"38","author":"GD Shah","year":"2012","unstructured":"Shah GD, Praveen MR, Vasavada AR, Vasavada VA, Rampal G, Shastry LR. Rotational stability of a toric intraocular lens: influence of axial length and alignment in the capsular bag. J Cataract Refract Surg. 2012;38(1):54\u20139.","journal-title":"J Cataract Refract Surg"},{"issue":"4","key":"1465_CR22","doi-asserted-by":"publisher","first-page":"547","DOI":"10.1016\/S0886-3350(98)80300-3","volume":"24","author":"A Vasavada","year":"1998","unstructured":"Vasavada A, Singh R. Relationship between lens and capsular bag size. J Cataract Refract Surg. 1998;24(4):547\u201351.","journal-title":"J Cataract Refract Surg"},{"issue":"6","key":"1465_CR23","doi-asserted-by":"publisher","first-page":"1134","DOI":"10.1016\/j.ajo.2013.07.028","volume":"156","author":"X Zhu","year":"2013","unstructured":"Zhu X, Lu Y. Detection and influencing factors of capsular bag distention syndrome after cataract surgery using the PentacamScheimpflug system. Am J Ophthalmol. 2013;156(6):1134\u201340 e1134.","journal-title":"Am J Ophthalmol"},{"issue":"10","key":"1465_CR24","doi-asserted-by":"publisher","first-page":"1853","DOI":"10.1016\/S0886-3350(02)01490-6","volume":"28","author":"JF Boyce","year":"2002","unstructured":"Boyce JF, Bhermi GS, Spalton DJ, El-Osta AR. Mathematical modeling of the forces between an intraocular lens and the capsule. J Cataract Refract Surg. 2002;28(10):1853\u20139.","journal-title":"J Cataract Refract Surg"},{"issue":"38","key":"1465_CR25","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000001618","volume":"94","author":"AH Elhofi","year":"2015","unstructured":"Elhofi AH, Helaly HA. Comparison between digital and manual marking for Toric intraocular lenses: a randomized trial. Medicine (Baltimore). 2015;94(38):e1618.","journal-title":"Medicine (Baltimore)"},{"issue":"7","key":"1465_CR26","doi-asserted-by":"publisher","first-page":"1022","DOI":"10.1016\/S0886-3350(00)00317-5","volume":"26","author":"I Ruhswurm","year":"2000","unstructured":"Ruhswurm I, Scholz U, Zehetmayer M, Hanselmayer G, Vass C, Skorpik C. Astigmatism correction with a foldable toric intraocular lens in cataract patients. J Cataract Refract Surg. 2000;26(7):1022\u20137.","journal-title":"J Cataract Refract Surg"}],"container-title":["BMC Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12886-020-01465-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12886-020-01465-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12886-020-01465-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,24]],"date-time":"2021-05-24T19:15:14Z","timestamp":1621883714000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcophthalmol.biomedcentral.com\/articles\/10.1186\/s12886-020-01465-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,25]]},"references-count":26,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["1465"],"URL":"https:\/\/doi.org\/10.1186\/s12886-020-01465-2","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.2.12464\/v1","asserted-by":"object"},{"id-type":"doi","id":"10.21203\/rs.2.12464\/v2","asserted-by":"object"},{"id-type":"doi","id":"10.21203\/rs.2.12464\/v3","asserted-by":"object"}]},"ISSN":["1471-2415"],"issn-type":[{"value":"1471-2415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,25]]},"assertion":[{"value":"20 April 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 May 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 May 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This research article was approved by the ethics committee of the second Affiliated Hospital, Zhejiang University School of Medicine, and the research followed the tenets of the Declaration of Helsinki. Written consent was obtained from all patients.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable<b>.<\/b>","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"204"}}