{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,12]],"date-time":"2026-11-12T07:54:39Z","timestamp":1794470079912,"version":"4.9.1"},"reference-count":28,"publisher":"SLACK, Inc.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Refract Surg"],"published-print":{"date-parts":[[2015,2]]},"abstract":"\n PURPOSE:<\/jats:title>\n To evaluate rotational stability and its influence on postoperative visual acuity of different monofocal and multifocal toric intraocular lenses (IOLs).<\/jats:p>\n <\/jats:sec>\n \n METHODS:<\/jats:title>\n A prospective interventional study was designed. Ninety-one patients with a mean age of 71.65 \u00b1 11.82 years were implanted with toric IOLs after phacoemulsification. Three monofocal toric IOLs (the Lentis LT [Oculentis, Berlin, Germany], enVista [Bausch & Lomb, Rochester, NY], and AcrySof IQ [Alcon Laboratories, Inc., Fort Worth, TX]) and one multifocal toric IOL (AcrySof IQ ReSTOR; Alcon Laboratories, Inc.) were implanted. Preoperative and postoperative images were taken to calculate the misalignment due to the marking method. To evaluate rotation in the different follow-up visits, another photograph was taken 1 hour and 1, 7 and 30 days postoperatively. Refraction, uncorrected distance visual acuity (UDVA), and corrected distance visual acuity were measured 30 days postoperatively.<\/jats:p>\n <\/jats:sec>\n \n RESULTS:<\/jats:title>\n \n Postoperative UDVA was 0.1 logMAR or better in 64.6% of eyes implanted with monofocal IOLs and 46.4% of eyes implanted with multifocal IOLs. The enVista toric IOL showed the best UDVA compared to the other monofocal IOLs, with 81% of eyes with 0.1 logMAR or better. The mean misalignment in the total group studied was 0.07\u00b0 \u00b1 0.60\u00b0; 69.6% of monofocal IOLs and 67.9% of multifocal IOLs showed less than 5\u00b0 of rotation. A correlation was found between postoperative UDVA and rotation in the monofocal and multifocal IOLs implanted (\n r<\/jats:italic>\n = 0.439 [\n P<\/jats:italic>\n < .011] and = 0.787 [\n P<\/jats:italic>\n = .001], respectively).\n <\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS:<\/jats:title>\n At 1 month postoperatively, UDVA was slightly more affected by IOL rotation in multifocal than monofocal toric IOLs. The marking method was also effective.<\/jats:p>\n \n \n [\n J Refract Surg<\/jats:italic>\n . 2015;31(2):90\u201397.]\n <\/jats:bold>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3928\/1081597x-20150122-03","type":"journal-article","created":{"date-parts":[[2015,3,3]],"date-time":"2015-03-03T16:22:01Z","timestamp":1425399721000},"page":"90-97","source":"Crossref","is-referenced-by-count":48,"title":["Evaluation of Rotation and Visual Outcomes After Implantation of Monofocal and Multifocal Toric Intraocular Lenses"],"prefix":"10.3928","volume":"31","author":[{"given":"Nuria","family":"Garz\u00f3n","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"Poyales","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bego\u00f1a Ort\u00edz","family":"de Z\u00e1rate","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Luis","family":"Ruiz-Garc\u00eda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Antonio","family":"Quiroga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2308","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2013.03.033"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2009.12.027"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2011.04.036"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2013.04.013"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20111206-01"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2011.02.024"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20101005-01"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2009.04.033"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2004.07.019"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2012.07.039"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2011.10.037"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2010.08.049"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2010.03.047"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2013.02.037"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2013.06.026"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2013.04.036"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.08.050955"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2009.150"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(02)01843-6"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(13)80016-8"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(99)00140-6"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2007.10.043"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(99)90504-3"},{"key":"e_1_3_2_25_2","unstructured":"Stephenson M. Early users share the enVista experience. Review of Ophthalmology . 2013;January(available: http:\/\/www.reviewofophthalmology.com\/content\/t\/intraocular_lenses\/c\/38573\/)"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2013.02.020"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2007.11.033"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.3129\/i09-048"},{"key":"e_1_3_2_29_2","first-page":"137","article-title":"Acrylic toric intraocular lens implantation: a single center experience concerning clinical outcomes and postoperative rotation","volume":"4","author":"Tsinopoulos IT","year":"2010","unstructured":"Tsinopoulos IT, Tsaousis KT, Tsakpinis D, Ziakas NG, Dimitrakos SA. Acrylic toric intraocular lens implantation: a single center experience concerning clinical outcomes and postoperative rotation. 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