{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T22:42:46Z","timestamp":1697496166816},"reference-count":14,"publisher":"SLACK, Inc.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Refract Surg"],"published-print":{"date-parts":[[2011,1]]},"abstract":"<jats:sec>\n            <jats:title>Purpose:<\/jats:title>\n            <jats:p>To compare outcomes for uncomplicated versus complex eyes after implantation of AcrySof toric intraocular lenses (IOLs) (Alcon Laboratories Inc) in a retrospective series of cataractous astigmatic eyes.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>Toric IOLs were implanted in 230 eyes of 162 adult patients. Approximately half (52%, n=120) the eyes had no complications (uncomplicated group). The other 110 (48%) eyes (complex group) had a variety of complexities, including retinal or macular problems (eg, age-related macular degeneration), angle or pressure problems (eg, glaucoma), or high astigmatism that required adjunctive limbal relaxing incisions (LRIs). Outcomes were retrospectively assessed approximately 6 weeks after surgery.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>\n              Preoperative corneal astigmatism was 1.60\u00b11.20 diopters (D) overall (1.40\u00b10.70 D in the uncomplicated group and 1.90\u00b11.60 D in the complex group). Residual cylinder was 0.40\u00b10.60 D overall (\n              <jats:italic>P<\/jats:italic>\n              &lt;.01 compared to baseline) and was significantly lower (\n              <jats:italic>P<\/jats:italic>\n              &lt;.01) for the uncomplicated group (0.30\u00b10.40 D) than for the complex group (0.50\u00b10.80 D), which contained the adjunctive LRI subgroup (residual cylinder 0.80\u00b10.70 D). A larger percentage of uncomplicated eyes (26%) than complex eyes (16%) had at least 20\/20 uncorrected distance visual acuity (UDVA) (\n              <jats:italic>P<\/jats:italic>\n              =.05). Excluding eyes with intentionally targeted myopic postoperative spherical equivalent, no eyes lost Snellen lines of UDVA, and the average improvement in UDVA was 0.8\u00b10.6 logMAR. Corrected distance visual acuity of the retinal\/macular subgroup was poorer than the uncomplicated group pre- and postoperatively but was significantly improved by the surgery (\n              <jats:italic>P<\/jats:italic>\n              &lt;.001; average improvement \u223c3 Snellen lines).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>AcrySof toric IOLs reduced cylinder and improved UDVA in both complex and uncomplicated eyes with cataractous astigmatism.<\/jats:p>\n          <\/jats:sec>","DOI":"10.3928\/1081597x-20100325-01","type":"journal-article","created":{"date-parts":[[2010,4,23]],"date-time":"2010-04-23T15:32:17Z","timestamp":1272036737000},"page":"56-62","source":"Crossref","is-referenced-by-count":14,"title":["Clinical Outcomes of Complex and Uncomplicated Cataractous Eyes After Lens Replacement with the AcrySof Toric IOL"],"prefix":"10.3928","volume":"27","author":[{"given":"Johnny L.","family":"Gayton","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ReBecca A.","family":"Seabolt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"issue":"3","key":"e_1_3_3_2_2","first-page":"43","article-title":"The upward trend continues for toric IOLs","volume":"16","author":"Bethke W","year":"2009","unstructured":"Bethke W. The upward trend continues for toric IOLs. Rev Ophthalmol. 2009;16(3):43\u201346.","journal-title":"Rev Ophthalmol"},{"key":"e_1_3_3_3_2","volume-title":"AcrySof Toric Single-Piece Natural IOL [package insert]","year":"2005","unstructured":"AcrySof Toric Single-Piece Natural IOL [package insert]. Ft Worth, TX: Alcon Laboratories Inc; 2005."},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2008.07.012"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2007.11.033"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2007.01.030"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2415-8-8"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(13)80232-5"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20090617-05"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-9071.2004.00842.x"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2008.05.031"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.3129\/i09-048"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(00)00687-8"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2007.10.024"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2005.067405"}],"container-title":["Journal of Refractive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.slackinc.com\/doi\/resolver.asp?doi=10.3928\/1081597X-20100325-01","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T07:29:21Z","timestamp":1683098961000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/1081597X-20100325-01"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,1]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2011,1]]}},"alternative-id":["10.3928\/1081597X-20100325-01"],"URL":"https:\/\/doi.org\/10.3928\/1081597x-20100325-01","relation":{},"ISSN":["1081-597X"],"issn-type":[{"value":"1081-597X","type":"print"}],"subject":[],"published":{"date-parts":[[2011,1]]}}}