{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T05:21:46Z","timestamp":1791436906412,"version":"4.3.3"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","license":[{"start":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T00:00:00Z","timestamp":1744848000000},"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 evaluate how intraocular lens (IOL) positioning affects visual quality in patients with high myopia after cataract surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This prospective, randomized study was conducted on 50 eyes from 50 patients with high myopia (axial length [AL] &gt;26 mm) or super-high myopia (AL &gt;30 mm) who underwent cataract surgery between October 2022 and October 2023. We assessed the IOL position using optical coherence tomography and measured higher-order aberrations (HOAs) with the iTrace system. Correlations between IOL positioning and visual quality markers were then examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Follow-up rates were 100% (50 eyes) at 1 month and 84% (42 eyes) at 3 months post-surgery. At 1 month, IOL tilt showed a positive correlation with total HOAs in both the high and super-high myopia groups (\n                      <jats:italic toggle=\"yes\">rs<\/jats:italic>\n                      = 0.449,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.010 and\n                      <jats:italic toggle=\"yes\">rs<\/jats:italic>\n                      = 0.570,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.017). IOL decentration was associated with specific aberrations: coma in the high myopia group (\n                      <jats:italic toggle=\"yes\">rs<\/jats:italic>\n                      = 0.492,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.004) and trefoil in the super-high myopia group (\n                      <jats:italic toggle=\"yes\">rs<\/jats:italic>\n                      = 0.539,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.026). At 3 months, IOL decentration negatively correlated with overall visual quality, measured by the modulation transfer function, in the high myopia group (\n                      <jats:italic toggle=\"yes\">rs<\/jats:italic>\n                      = -0.558,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.001), but no significant correlation was observed in the super-high myopia group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>IOL positioning significantly affects visual quality in patients with high myopia after cataract surgery. The effects vary based on the degree of myopia and type of IOL misalignment. These findings emphasize the importance of precise IOL placement to optimize visual outcomes in this patient population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_2244_24","type":"journal-article","created":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T07:00:24Z","timestamp":1744873224000},"page":"993-999","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Impact of intraocular lens decentration and tilt on higher-order aberrations in patients with high and super-high myopia following cataract surgery"],"prefix":"10.4103","volume":"73","author":[{"given":"Yu","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Fushun Eye Hospital, Fushun, Liaoning, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bo","family":"Zang","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Fushun Eye Hospital, Fushun, Liaoning, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qianlong","family":"Bi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Fushun Eye Hospital, Fushun, Liaoning, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Fushun Eye Hospital, Fushun, Liaoning, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Fushun Eye Hospital, Fushun, Liaoning, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chunmeng","family":"Dai","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Fushun Eye Hospital, Fushun, Liaoning, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoxia","family":"Ding","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Fushun Eye Hospital, Fushun, Liaoning, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Fushun Eye Hospital, Fushun, Liaoning, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zixi","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Fushun Eye Hospital, Fushun, Liaoning, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,4,17]]},"reference":[{"key":"R1-20260421","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/j.preteyeres.2017.09.004","article-title":"The epidemics of myopia: Aetiology and prevention","volume":"62","author":"Morgan","year":"2018","journal-title":"Prog Retin Eye Res"},{"key":"R2-20260421","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1016\/j.ajo.2007.07.043","article-title":"Prevalence of cataract type in relation to axial length in subjects with high myopia and emmetropia in an Indian population","volume":"145","author":"Praveen","year":"2008","journal-title":"Am J Ophthalmol"},{"key":"R3-20260421","doi-asserted-by":"crossref","first-page":"618","DOI":"10.21037\/atm-20-6757","article-title":"Evaluation of preoperative corneal astigmatism using swept-source optical biometry in Chinese cataract surgery candidates with high myopia: A prospective, comparative observational study","volume":"9","author":"Tan","year":"2021","journal-title":"Ann Transl Med"},{"key":"R4-20260421","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1111\/ceo.12206","article-title":"Myopia and the long-term incidence of cataract and cataract surgery: The Blue Mountains Eye Study","volume":"42","author":"Kanthan","year":"2014","journal-title":"Clin Exp Ophthalmol"},{"key":"R5-20260421","doi-asserted-by":"crossref","first-page":"41","DOI":"10.3390\/vision4030041","article-title":"Effect of intraocular lens tilt and decentration on visual acuity, dysphotopsia and wavefront aberrations","volume":"4","author":"Ashena","year":"2020","journal-title":"Vision (Basel)"},{"key":"R6-20260421","doi-asserted-by":"crossref","first-page":"1583","DOI":"10.1038\/s41433-021-01697-6","article-title":"Effect of cataract surgery on vision-related quality of life among cataract patients with high myopia: A prospective, case-control observational study","volume":"36","author":"Tan","year":"2022","journal-title":"Eye (Lond)"},{"key":"R7-20260421","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1016\/j.jcrs.2004.01.014","article-title":"Visual acuity measurements","volume":"30","author":"Holladay","year":"2004","journal-title":"J Cataract Refract Surg"},{"key":"R8-20260421","first-page":"521","article-title":"[Comparative study of decentration, tilt and visual quality after implantation of aspherical intraocular lenses]","volume":"58","author":"Qian","year":"2022","journal-title":"Zhonghua Yan Ke Za Zhi"},{"key":"R9-20260421","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1159\/000504716","article-title":"Correlative comparison of three ocular axes to tilt and decentration of intraocular lens and their effects on visual acuity","volume":"63","author":"Zhang","year":"2020","journal-title":"Ophthalmic Res"},{"key":"R10-20260421","doi-asserted-by":"crossref","first-page":"1243","DOI":"10.1038\/eye.2012.129","article-title":"Internal spherical aberration by ray tracing-type aberrometry in multifocal pseudophakic eyes","volume":"26","author":"Jun","year":"2012","journal-title":"Eye (Lond)"},{"key":"R11-20260421","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1186\/s12886-016-0210-8","article-title":"Comparison of the Orbscan II topographer and the iTrace aberrometer for the measurements of keratometry and corneal diameter in myopic patients","volume":"16","author":"Chen","year":"2016","journal-title":"BMC Ophthalmol"},{"key":"R12-20260421","first-page":"807","article-title":"Characteristics of posterior corneal astigmatism in cataract patients with high myopia","volume":"21","author":"Liu","year":"2019","journal-title":"Chinese Journal of Optometry Ophthalmology and Visual Science"},{"key":"R13-20260421","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1016\/j.jcrs.2018.10.049","article-title":"Effects of decentration and tilt on the optical performance of 6 aspheric intraocular lens designs in a model eye","volume":"45","author":"Lawu","year":"2019","journal-title":"J Cataract Refract Surg"},{"key":"R14-20260421","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1016\/j.jcrs.2005.12.101","article-title":"Comatic aberration as a cause of monocular diplopia","volume":"32","author":"Melamud","year":"2006","journal-title":"J Cataract Refract Surg"},{"key":"R15-20260421","doi-asserted-by":"crossref","first-page":"2158","DOI":"10.1016\/j.jcrs.2004.02.072","article-title":"Influence of intraocular lens tilt and decentration on wavefront aberrations","volume":"30","author":"Taketani","year":"2004","journal-title":"J Cataract Refract Surg"},{"key":"R16-20260421","doi-asserted-by":"crossref","first-page":"1425","DOI":"10.4103\/ijo.IJO_653_17","article-title":"Optimizing optical outcomes of intraocular lens implantation by achieving centration on visual axis","volume":"65","author":"Roop","year":"2017","journal-title":"Indian J Ophthalmol"},{"key":"R17-20260421","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/S0886-3350(99)80019-4","article-title":"Computer modeling of visual impairment caused by intraocular lens misalignment","volume":"25","author":"Korynta","year":"1999","journal-title":"J Cataract Refract Surg"},{"key":"R18-20260421","doi-asserted-by":"crossref","first-page":"683","DOI":"10.3928\/1081-597X-20021101-04","article-title":"A new intraocular lens design to reduce spherical aberration of pseudophakic eyes","volume":"18","author":"Holladay","year":"2002","journal-title":"J Refract Surg"},{"key":"R19-20260421","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ajo.2018.01.007","article-title":"Inferior decentration of multifocal intraocular lenses in myopic eyes","volume":"188","author":"Zhu","year":"2018","journal-title":"Am J Ophthalmol"},{"key":"R20-20260421","first-page":"76","article-title":"ln-the-bag lOL stability of super high myopic eyes with different size of capculorhexis","author":"Wang","year":"2015","journal-title":"Int Eye Sci"},{"key":"R21-20260421","first-page":"481","article-title":"[Perfect refractive cataract surgery: Still a long way to go]","volume":"58","author":"Lu","year":"2022","journal-title":"Zhonghua Yan Ke Za Zhi"},{"key":"R22-20260421","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1007\/s00417-003-0672-2","article-title":"Laser interference biometry versus ultrasound biometry in certain clinical conditions","volume":"242","author":"Lege","year":"2004","journal-title":"Graefes Arch Clin Exp Ophthalmol"},{"key":"R23-20260421","first-page":"251","article-title":"Correlations between high-order wavefront aberrations and intraocular lens decentration or tilt","volume":"12","author":"Fang","year":"2010","journal-title":"Chinese Journal of Optometry Ophthalmology and Visual Science"},{"key":"R24-20260421","doi-asserted-by":"crossref","first-page":"2415","DOI":"10.2147\/OPTH.S72053","article-title":"Evaluation of actual retinal images produced by misaligned aspheric intraocular lenses in a model eye","volume":"8","author":"Fujikado","year":"2014","journal-title":"Clin Ophthalmol"},{"key":"R25-20260421","doi-asserted-by":"crossref","first-page":"774","DOI":"10.1016\/j.jcrs.2011.11.036","article-title":"Visual simulation through different intraocular lenses in patients with previous myopic corneal ablation using adaptive optics: effect of tilt and decentration","volume":"38","author":"Madrid-Costa","year":"2012","journal-title":"J Cataract Refract Surg"},{"key":"R26-20260421","doi-asserted-by":"crossref","first-page":"808","DOI":"10.3928\/1081597X-20171004-02","article-title":"Laboratory evaluation of the influence of decentration and pupil size on the optical performance of a monofocal, bifocal, and trifocal intraocular lens","volume":"33","author":"Tandogan","year":"2017","journal-title":"J Refract Surg"},{"key":"R27-20260421","doi-asserted-by":"crossref","first-page":"1091","DOI":"10.1016\/j.jcrs.2009.01.034","article-title":"Effect of decentration and tilt on the image quality of aspheric intraocular lens designs in a model eye","volume":"35","author":"Eppig","year":"2009","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_2244_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:54:35Z","timestamp":1786647275000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_2244_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,17]]},"references-count":27,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_2244_24","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,17]]},"assertion":[{"value":"2024-09-18","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-30","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}