{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:24:02Z","timestamp":1787030642252,"version":"build-2736575974"},"reference-count":29,"publisher":"SLACK, Inc.","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Refract Surg"],"published-print":{"date-parts":[[2022,3]]},"abstract":"\n PURPOSE:<\/jats:title>\n To determine the longitudinal variation in the KS-aquaPORT central hole location of the phakic EVO+ Implantable Collamer Lens (ICL) (STAAR Surgical) and analyze its influence on visual performance, quality of vision (QoV), and quality of life (QoL).<\/jats:p>\n <\/jats:sec>\n \n METHODS:<\/jats:title>\n A prospective study was performed including 36 patients who had EVO+ ICL implantation. The KS-aquaPORT central hole location (Cartesian and polar coordinates) was determined with respect to the pupil center and visual axis. The effect of time (6-month follow-up) on central hole location was analyzed using linear mixed models. The effect of the KS-aquaPORT location on visual performance, QoV, and QoL parameters was assessed with multivariate regression models.<\/jats:p>\n <\/jats:sec>\n \n RESULTS:<\/jats:title>\n \n With respect to the visual axis, no significant changes in KS-aquaPORT location were found during follow-up. With respect to the pupil center, the X-coordinate and radius of KS-aquaPORT location showed modest, but significant (\n P<\/jats:italic>\n \u2264 .05) differences between 1-week and 3-month postoperative visits, and between 1-week and 6-month visits. X-coordinate variation was significant (\n P<\/jats:italic>\n = .022) between 1-and 6-month visits. With respect to the visual axis, greater KS-aquaPORT decentration was associated with worse visual acuity (X-coordinate:\n P<\/jats:italic>\n = .004; radius:\n P<\/jats:italic>\n = .006), and inferior decentration with longer xenon-type glare photostress recovery time (\n P<\/jats:italic>\n = .021). With respect to the pupil center, a lower radius was associated with better QoV scores (\n P<\/jats:italic>\n \u2264 .01) and temporal decentration produced higher ring-shaped dysphotopsia (\n P<\/jats:italic>\n = .007).\n <\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS:<\/jats:title>\n EVO+ ICL KS-aquaPORT location appears to be clinically stable up to 6 months postoperatively. A central location of the EVO+ ICL KS-aquaPORT hole is preferred because it allows reduced perception of dysphotopic phenomena that can result in better QoV.<\/jats:p>\n \n \n [\n J Refract Surg<\/jats:italic>\n . 2022;38(3):177\u2013183.]\n <\/jats:bold>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3928\/1081597x-20220106-01","type":"journal-article","created":{"date-parts":[[2022,3,11]],"date-time":"2022-03-11T10:07:10Z","timestamp":1646993230000},"page":"177-183","source":"Crossref","is-referenced-by-count":12,"title":["EVO+ Implantable Collamer Lens KS-aquaPORT Location, Stability, and Impact on Quality of Vision and Life"],"prefix":"10.3928","volume":"38","author":[{"given":"Elena","family":"Mart\u00ednez-Plaza","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"L\u00f3pez-Miguel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto L\u00f3pez-de","family":"la Rosa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colm","family":"McAlinden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Itziar","family":"Fern\u00e1ndez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel J.","family":"Maldonado","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.2009.01.031"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2011.150"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2017.03.005"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20190708-02"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2015.05.034"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2012.04.001"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2014.01.032"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000003270"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0183335"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/aos.13248"},{"issue":"4","key":"e_1_3_2_12_2","first-page":"619","article-title":"Comparison of postoperative optical quality according to the degree of decentering of V4c implantable collamer lens","volume":"10","author":"Park MJ","year":"2017","unstructured":"Park MJ, Jeon HM, Lee KH, Han SY. 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