{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T22:52:01Z","timestamp":1787698321820,"version":"build-2784847793"},"reference-count":30,"publisher":"SLACK, Inc.","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Refract Surg"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:sec>\n            <jats:title>PURPOSE:<\/jats:title>\n            <jats:p>To evaluate the visual outcomes and fourth-order Zernike spherical aberrations induced with a customized change in corneal asphericity (\u0394Q) correction of presbyopia combined with monovision for hyperopic patients.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS:<\/jats:title>\n            <jats:p>\n              Consecutive hyperopic patients who underwent presbyopic LASIK between September 2013 and July 2014 were included. For the non-dominant eyes, the aspheric ablation profile associated with a myopic refraction was planned using the Custom-Q nomogram (Alcon Laboratories, Inc., Fort Worth, TX). Uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), spherical equivalent refraction, \u0394Q, and change in corneal spherical aberration coefficient (\u0394C\n              <jats:sub>4<\/jats:sub>\n              <jats:sup>0<\/jats:sup>\n              ) were analyzed. Postoperative data were collected at 1, 3, and 6 months.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS:<\/jats:title>\n            <jats:p>\n              Sixty-five patients were included. The mean age was 56.5 \u00b1 5.7 years (range: 47 to 70 years). At the 6-month follow-up, the spherical equivalent refraction for non-dominant and dominant eyes was \u22121.07 \u00b1 0.74 and 0.32 \u00b1 0.55 diopters (D), respectively. The mean binocular UDVA was 0.01 \u00b1 0.04 logMAR (range: \u22120.12 to 0.30 logMAR); 91% of patients achieved 20\/20 or better binocular UDVA and 83% of patients had Jaeger 3 (Parinaud 4) or better binocular UNVA. The \u0394Q for non-dominant and dominant eyes was \u22120.61 \u00b1 0.15 and \u22120.33 \u00b1 0.25, respectively, for a 6-mm pupil diameter and was significantly higher for non-dominant eyes (\n              <jats:italic>P<\/jats:italic>\n              &lt; .0001). The achieved \u0394C\n              <jats:sub>4<\/jats:sub>\n              <jats:sup>0<\/jats:sup>\n              was \u22120.49 \u00b1 0.23\n              <jats:italic>\u00b5<\/jats:italic>\n              m for non-dominant eyes (for a theoretical ideal value of \u22120.40\n              <jats:italic>\u00b5<\/jats:italic>\n              m) and \u22120.30 \u00b1 0.18\n              <jats:italic>\u00b5<\/jats:italic>\n              m for dominant eyes. For non-dominant eyes, the attempted \u0394Q (\u22120.60) was close to the achieved value (\u22120.61 \u00b1 0.15).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSIONS:<\/jats:title>\n            <jats:p>For hyperopic patients, combining the customized corneal aspheric ablation profile with monovision is safe, effective, and reproducible, inducing intended changes in corneal spherical aberrations.<\/jats:p>\n            <jats:p>\n              <jats:bold>\n                [\n                <jats:italic>J Refract Surg.<\/jats:italic>\n                2016;32(11):734\u2013741.]\n              <\/jats:bold>\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.3928\/1081597x-20160810-01","type":"journal-article","created":{"date-parts":[[2016,11,8]],"date-time":"2016-11-08T16:38:34Z","timestamp":1478623114000},"page":"734-741","source":"Crossref","is-referenced-by-count":39,"title":["Changes to Corneal Aberrations and Vision After Monovision in Patients With Hyperopia After Using a Customized Aspheric Ablation Profile to Increase Corneal Asphericity (Q-factor)"],"prefix":"10.3928","volume":"32","author":[{"given":"Romain","family":"Courtin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alain","family":"Saad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Grise-Dulac","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Guilbert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damien","family":"Gatinel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2308","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20090512-05"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20101110-02"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0000000000000162"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20090101-07"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2015.05.021"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20140903-10"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9394(53)92183-7"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081-597X-20020901-30"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20140903-07"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.14-16108"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2011.07.040"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081-597X-20060501-08"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2011.03.034"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20120518-04"},{"key":"e_1_3_2_16_2","first-page":"941","article-title":"Analysis of customized corneal ablations: theoretical limitations of increasing negative asphericity","volume":"43","author":"Gatinel D","year":"2002","unstructured":"Gatinel D, Malet J, Hoang-Xuan T, Azar DT. 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