{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T06:06:56Z","timestamp":1792822016710,"version":"4.5.0"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T00:00:00Z","timestamp":1740528000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate the optical performance of an enhanced monofocal intraocular lens (IOL) in the presence of cataract and a low degree of corneal astigmatism.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A prospective, comparative, nonrandomized study was conducted to compare the results of an enhanced monofocal IOL with a standard monofocal IOL in cases of cataract with corneal astigmatism \u22650.75 D and &lt;1.5 D. A total of 38 patients meeting the inclusion criteria were enrolled in the study. Group A patients (19) were implanted with enhanced monofocal IOLs bilaterally, and Group B patients (19) received standard monofocal IOLs bilaterally. Both groups underwent standard procedures (phacoemulsification with IOL implantation in the capsular bag), and final outcomes were analyzed after a 3-month follow up. A\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      value &lt; 0.05 was considered significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The binocular uncorrected intermediate visual acuity, near visual acuity, and contrast sensitivity at 3 months was better in the enhanced monofocal group compared to the standard monofocal group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.02 respectively). The binocular uncorrected distance visual acuity at 3 months was comparable between the groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.2); however, a higher number of cases attained visual acuity better than 6\/9 in the enhanced monofocal IOL group. Post-operative higher-order aberrations were comparable between the groups. (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.125).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Bilateral implantation of enhanced monofocal IOLs in patients with cataract and low degrees of corneal astigmatism demonstrates better tolerance to astigmatism compared to standard monofocal IOLs. In cases with &lt;1 D corneal astigmatism, the enhanced monofocal IOL is the preferred choice over the standard monofocal IOL.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_1639_24","type":"journal-article","created":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T03:05:13Z","timestamp":1740539113000},"page":"377-381","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Optical performance of enhanced monofocal intraocular lens in presence of low degree of corneal astigmatism"],"prefix":"10.4103","volume":"73","author":[{"given":"Neha","family":"Neha","sequence":"first","affiliation":[{"name":"Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aafreen","family":"Bari","sequence":"additional","affiliation":[{"name":"Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Namrata","family":"Sharma","sequence":"additional","affiliation":[{"name":"Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajesh","family":"Sinha","sequence":"additional","affiliation":[{"name":"Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prafulla Kumar","family":"Maharana","sequence":"additional","affiliation":[{"name":"Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manpreet","family":"Kaur","sequence":"additional","affiliation":[{"name":"Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeewan Singh","family":"Titiyal","sequence":"additional","affiliation":[{"name":"Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tushar","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,2,26]]},"reference":[{"key":"R1-20260422","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.joco.2017.08.009","article-title":"Global and regional estimates of prevalence of refractive errors: Systematic review and meta-analysis","volume":"30","author":"Hashemi","year":"2017","journal-title":"J Curr Ophthalmol"},{"key":"R2-20260422","doi-asserted-by":"crossref","first-page":"439","DOI":"10.2147\/OPTH.S146829","article-title":"Global prevalence and economic and humanistic burden of astigmatism in cataract patients: A systematic literature review","volume":"12","author":"Anderson","year":"2018","journal-title":"Clin Ophthalmol"},{"key":"R3-20260422","doi-asserted-by":"crossref","first-page":"1307","DOI":"10.1136\/bjo.2008.151829","article-title":"Spectacle use after routine cataract surgery","volume":"93","author":"Wilkins","year":"2009","journal-title":"Br J Ophthalmol"},{"key":"R4-20260422","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1097\/ICU.0000000000000627","article-title":"How much astigmatism to treat in cataract surgery","volume":"31","author":"Sigireddi","year":"2020","journal-title":"Curr Opin Ophthalmol"},{"key":"R5-20260422","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/j.ophtha.2015.10.002","article-title":"Toric intraocular lenses in the correction of astigmatism during cataract surgery: A systematic review and meta-analysis","volume":"123","author":"Kessel","year":"2016","journal-title":"Ophthalmology"},{"key":"R6-20260422","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1097\/APO.0000000000000112","article-title":"Evaluation of Toric Intraocular Lenses in Patients with Low Degrees of Astigmatism","volume":"4","author":"Levitz","year":"2015","journal-title":"Asia Pac J Ophthalmol (Phila)"},{"key":"R7-20260422","doi-asserted-by":"crossref","first-page":"1301","DOI":"10.4103\/ijo.IJO_810_17","article-title":"Optimizing outcomes with toric intraocular lenses","volume":"65","author":"Kaur","year":"2017","journal-title":"Indian J Ophthalmol"},{"key":"R8-20260422","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1016\/j.jcrs.2013.02.020","article-title":"Toric intraocular lenses: Historical overview, patient selection, IOL calculation, surgical techniques, clinical outcomes, and complications","volume":"39","author":"Visser","year":"2013","journal-title":"J Cataract Refract Surg"},{"key":"R9-20260422","doi-asserted-by":"crossref","first-page":"9283021","DOI":"10.1155\/2020\/9283021","article-title":"Comparative Analysis of Visual Performance and Astigmatism Tolerance with Monofocal, Bifocal, and Extended Depth-of-Focus Intraocular Lenses Targeting Slight Myopia","volume":"2020","author":"Xu","year":"2020","journal-title":"J Ophthalmol"},{"key":"R10-20260422","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1097\/j.jcrs.0000000000000399","article-title":"Clinical evaluation of a new monofocal IOL with enhanced intermediate function in patients with cataract","volume":"47","author":"Auffarth","year":"2021","journal-title":"J Cataract Refract Surg"},{"key":"R11-20260422","doi-asserted-by":"crossref","first-page":"538","DOI":"10.3928\/1081597X-20220707-01","article-title":"Enhanced Monofocal Versus Conventional Monofocal Intraocular Lens in Cataract Surgery: A Meta-analysis","volume":"38","author":"Wan","year":"2022","journal-title":"J Refract Surg"},{"key":"R12-20260422","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1097\/j.jcrs.0000000000000061","article-title":"Visual outcome, optical quality, and patient satisfaction with a new monofocal IOL, enhanced for intermediate vision: Preliminary results","volume":"46","author":"Mencucci","year":"2020","journal-title":"J Cataract Refract Surg"},{"key":"R13-20260422","doi-asserted-by":"crossref","first-page":"10","DOI":"10.3928\/1081597X-20211109-02","article-title":"Visual acuity, wavefront aberrations, and defocus curves with an enhanced monofocal and a monofocal intraocular lens: A prospective, randomized study","volume":"38","author":"Nanavaty","year":"2022","journal-title":"J Refract Surg"},{"key":"R14-20260422","doi-asserted-by":"crossref","first-page":"3617","DOI":"10.1007\/s00417-022-05700-y","article-title":"Visual and optical quality of enhanced intermediate monofocal versus standard monofocal intraocular lens","volume":"260","author":"Garz\u00f3n","year":"2022","journal-title":"Graefes Arch Clin Exp Ophthalmol"},{"key":"R15-20260422","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1186\/s12886-023-02920-6","article-title":"Comparison of visual performances of enhanced monofocal versus standard monofocal IOLs in a mini-monovision approach","volume":"23","author":"Beltraminelli","year":"2023","journal-title":"BMC Ophthalmol"},{"key":"R16-20260422","doi-asserted-by":"crossref","first-page":"572","DOI":"10.3928\/1081597X-20220802-01","article-title":"Optical and clinical outcomes of an enhanced monofocal intraocular lens for high hyperopia","volume":"38","author":"Fern\u00e1ndez-Vega-Cueto","year":"2022","journal-title":"J Refract Surg"},{"key":"R17-20260422","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1186\/s12886-023-02839-y","article-title":"Optical bench evaluation of the effect of pupil size in new generation monofocal intraocular lenses","volume":"23","author":"Alarcon","year":"2023","journal-title":"BMC Ophthalmol"},{"key":"R18-20260422","doi-asserted-by":"crossref","first-page":"2096","DOI":"10.1177\/11206721221134171","article-title":"Analysis of higher-order aberrations in relation to the clinical outcome of an enhanced monofocal IOL","volume":"33","author":"Steinm\u00fcller","year":"2023","journal-title":"Eur J Ophthalmol"},{"key":"R19-20260422","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1097\/j.jcrs.0000000000001315","article-title":"Using adaptive optics to optimize the spherical aberration of eyes implanted with EDOF and enhanced monofocal intraocular lenses","volume":"50","author":"Shetty","year":"2024","journal-title":"J Cataract Refract Surg"},{"key":"R20-20260422","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1016\/j.ajo.2023.11.006","article-title":"Intraindividual comparison of an enhanced monofocal and an aspheric monofocal intraocular lens of the same platform","volume":"261","author":"Danzinger","year":"2024","journal-title":"Am J Ophthalmol"},{"key":"R21-20260422","doi-asserted-by":"crossref","first-page":"818","DOI":"10.1097\/j.jcrs.0000000000001224","article-title":"Enhanced vs conventional monofocal intraocular lens clinical results in patients with cataract: Randomized clinical trial","volume":"49","author":"Donoso","year":"2023","journal-title":"J Cataract Refract Surg"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_1639_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:27:49Z","timestamp":1787837269000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_1639_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,26]]},"references-count":21,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_1639_24","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,26]]},"assertion":[{"value":"2024-07-08","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-09","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}