{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:31:06Z","timestamp":1787070666821,"version":"build-2736575974"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","license":[{"start":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:00:00Z","timestamp":1751241600000},"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":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To compare the safety, efficacy, and stability of astigmatism correction with manual versus femtosecond laser-assisted limbal relaxing incisions (LRIs) during implantable collamer lens (ICL) surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Observational case-series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Charts of myopic patients with astigmatism &lt;1.75D who underwent ICL implantation combined with manual or FL-assisted LRIs were retrospectively reviewed. Uncorrected and corrected distance visual acuities (UDVA, CDVA), refraction, and astigmatism parameters were evaluated at 1 month and 1 year postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      From a total of 46 eyes of 32 patients, 19 eyes had FL-assisted LRIs (FLLRI group) and 27 had manual LRIs (MLRI group). The mean UDVA and CDVA improved after surgery in both groups. The FLLRI group showed a higher reduction in the mean manifest astigmatism from \u22121.00 \u00b1 0.09D to \u22120.33 \u00b1 0.05D at 1 month (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01) and \u22120.41 \u00b1 0.07D at 1 year (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.05), compared with MLRI group (from \u22121.30 \u00b1 0.08D to \u22120.75 \u00b1 0.10D and \u22120.82 \u00b1 0.09D). Surgically induced astigmatism (SIA) remained stable in the FLLRI group (0.71 \u00b1 0.09D to 0.63 \u00b1 0.08D,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.15) and MLRI group (0.65 \u00b1 0.06D to 0.55 \u00b1 0.06D,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.14) at 1 year. No differences in SIA were found between groups. The difference vector (DV) was lower in the FLLRI group at 1 month and 1 year (0.33 \u00b1 0.05D vs 0.75 \u00b1 0.10D,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01; 0.40 \u00b1 0.07D vs 0.82 \u00b1 0.09D,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.046). Correction index (CI) was &lt;1 in both groups, meaning undercorrection. Success index in the FLLRI group at 1 month was better compared with the MLRI group (0.43 \u00b1 0.08 vs 0.71 \u00b1 0.10,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.009).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>FLRIs and MLRIs are safe and effective methods in reducing corneal astigmatism during ICL surgery. FLLRIs display better astigmatism correction than MLRIs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_2012_24","type":"journal-article","created":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T07:00:25Z","timestamp":1751266825000},"page":"980-987","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Manual versus femtosecond laser-assisted relaxing incisions for correction of low astigmatism in implantable collamer lens surgery"],"prefix":"10.4103","volume":"73","author":[{"given":"Ling","family":"Zhou","sequence":"first","affiliation":[{"name":"Department of Refractive Surgery in Chongqing Eye and Vision Care Hospital \u2013 Aier Eye Hospital Group, Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qizhi","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Refractive Surgery in Chongqing Eye and Vision Care Hospital \u2013 Aier Eye Hospital Group, Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Llovet-Rausell","sequence":"additional","affiliation":[{"name":"Department of Refractive Surgery in Chongqing Eye and Vision Care Hospital \u2013 Aier Eye Hospital Group, Chongqing, China"},{"name":"Department of Cataract and Refractive Surgery, Cl\u00ednica Baviera - Aier Eye Hospital Group, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,6,30]]},"reference":[{"key":"R1-20260421","doi-asserted-by":"crossref","first-page":"339","DOI":"10.3928\/1081597X-20220406-01","article-title":"Efficacy and safety after toric posterior chamber implantable collamer lens and toric iris-fixated foldable phakic intraocular lens for myopic astigmatism","volume":"38","author":"Monteiro","year":"2022","journal-title":"J Refract 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