{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:24:46Z","timestamp":1787840686468,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","license":[{"start":{"date-parts":[[2025,7,18]],"date-time":"2025-07-18T00:00:00Z","timestamp":1752796800000},"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":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To assess the safety and efficacy of two SCOLI designs (Yang\u2019s I\/II) for astigmatism correction in manual cataract surgery and define incision size-astigmatism relationships.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 72 eyes from 64 cataract patients who accept manual cataract extraction surgery via a SCOLI technique. The two different types of incision: Yang\u2019s I and II incisions were applied in this study. The patients were divided into four groups based on corneal topography: Group 1 (0.25\u20131.5D), Group 2 (1.5\u20132.5D), Group 3 (2.5\u20133.5D), and Group 4 (&gt;3.5D). In both groups, the incisions of different lengths were made on the steepest axis. 1 day, 1 week, 1 month, and 3 months after surgery, the postoperative corneal topography was examined, and the surgically induced astigmatism (SIA) was computed by an open-source software SIA calculator.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result:<\/jats:title>\n                    <jats:p>\n                      Seventy-two eyes of 64 cataract patients were analyzed in this study. The difference in average K preoperative (44.29 \u00b1 1.68) and 3 months postoperative (44.32 \u00b1 1.71) was not statistically significant (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.529). The mean SIA at 3 months was 0.67 \u00b1 0.16 D (Group 1), 1.54 \u00b1 0.42D (Group 2), 2.04 \u00b1 0.35D (Group 3), and 3.74 \u00b1 1.83 D (Group 4). Statistically significant SIA changes were found among different groups (all\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). The SIA at 1 day was statistically significant compared to the SIA at 3 months (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.013). The DAP plots showed displacement of the centroid from the periphery toward the center in all groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>SCOLI merges refractive precision with manual cataract extraction, offering a suture-free, adaptable solution for astigmatism correction (0.25\u20134.5 D). Its cost-effectiveness and safety profile make it particularly viable for resource-limited settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_2532_24","type":"journal-article","created":{"date-parts":[[2025,7,18]],"date-time":"2025-07-18T15:00:10Z","timestamp":1752850810000},"page":"1297-1301","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Topography-guided subconjunctival oblique limbus incisions (SCOLI) in manual cataract surgery for astigmatism correction"],"prefix":"10.4103","volume":"73","author":[{"given":"Jun","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, The First People's Hospital of Yunnan Province, Kunming, Yunnan, China"},{"name":"The Affiliated Hospital of Kunming University of Science and Technology, Kunming, Yunnan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, The First People's Hospital of Yunnan Province, Kunming, Yunnan, China"},{"name":"The Affiliated Hospital of Kunming University of Science and Technology, Kunming, Yunnan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, The First People's Hospital of Yunnan Province, Kunming, Yunnan, China"},{"name":"The Affiliated Hospital of Kunming University of Science and Technology, Kunming, Yunnan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaofen","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Otolaryngology, Tengchong County Hospital of Traditional Chinese Medicine, Tengchong, Yunnan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaochun","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, The First People's Hospital of Yunnan Province, Kunming, Yunnan, China"},{"name":"The Affiliated Hospital of Kunming University of Science and Technology, Kunming, Yunnan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingzhi","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, The First People's Hospital of Yunnan Province, Kunming, Yunnan, China"},{"name":"The Affiliated Hospital of Kunming University of Science and Technology, Kunming, Yunnan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bai","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, The First People's Hospital of Yunnan Province, Kunming, Yunnan, China"},{"name":"The Affiliated Hospital of Kunming University of Science and Technology, Kunming, Yunnan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanyan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Jiangxi Eye Center, Jiangxi Provincial People\u2019s Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, Jiangxi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pinghong","family":"Lai","sequence":"additional","affiliation":[{"name":"Jiangxi Eye Center, Jiangxi Provincial People\u2019s Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, Jiangxi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Fan","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, The First People's Hospital of Yunnan Province, Kunming, Yunnan, China"},{"name":"The Affiliated Hospital of Kunming University of Science and Technology, Kunming, Yunnan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7,18]]},"reference":[{"key":"R1-20260420","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.jcrs.2008.09.027","article-title":"Prevalence of corneal astigmatism before cataract surgery","volume":"35","author":"Ferrer-Blasco","year":"2009","journal-title":"J Cataract Refract Surg"},{"key":"R2-20260420","doi-asserted-by":"crossref","first-page":"311","DOI":"10.2147\/OPTH.S178277","article-title":"Consensus on the management of astigmatism in cataract surgery","volume":"13","author":"N\u00fa\u00f1ez","year":"2019","journal-title":"Clin Ophthalmol"},{"key":"R3-20260420","doi-asserted-by":"crossref","first-page":"274","DOI":"10.4103\/0301-4738.121135","article-title":"Manual cataract extraction via a subconjunctival limbus oblique incision for mature cataracts","volume":"62","author":"Yang","year":"2014","journal-title":"Indian J 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against-the-rule astigmatism","volume":"2016","author":"Arthur","year":"2016","journal-title":"J Ophthalmol"},{"key":"R7-20260420","doi-asserted-by":"crossref","first-page":"3773","DOI":"10.4103\/ijo.IJO_1567_22","article-title":"Evolution of manual small-incision cataract surgery from 8 mm to 2 mm - A comprehensive review[J\/OL]","volume":"70","author":"Gurnani","year":"2022","journal-title":"Indian J Ophthalmol"},{"key":"R8-20260420","doi-asserted-by":"crossref","first-page":"4032","DOI":"10.4103\/ijo.IJO_1435_22","article-title":"Customized incision cataract surgery: Astigmatism modulation techniques in manual small-incision cataract surgery","volume":"70","author":"Boramani","year":"2022","journal-title":"Indian J Ophthalmol"},{"key":"R9-20260420","doi-asserted-by":"crossref","first-page":"54","DOI":"10.3126\/nepjoph.v4i1.5851","article-title":"Comparison of astigmatism following manual small incision cataract surgery: Superior versus temporal 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Ophthalmol"}],"container-title":["Indian Journal of 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