{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T14:52:34Z","timestamp":1791211954795,"version":"4.1.0"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 3","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To determine the change in total corneal astigmatism (\u0394TK) in patients undergoing cataract surgery with 2.2 mm opposite clear corneal incisions (OCCIs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This study determined the change in \u0394TK in patients undergoing phacoemulsification with monofocal intraocular lens implantation with 2.2 mm OCCIs using an image-guided system over 1 month and 3 months postoperatively from 1\n                      <jats:sup>st<\/jats:sup>\n                      January 2023 to 30\n                      <jats:sup>th<\/jats:sup>\n                      June 2024 at a tertiary eye hospital. Manifest astigmatism and final uncorrected visual acuity (UCVA) were analyzed at the 3\n                      <jats:sup>rd<\/jats:sup>\n                      month postoperatively. The secondary objective was to elicit the change in astigmatism from baseline to the 3\n                      <jats:sup>rd<\/jats:sup>\n                      month in different astigmatism groups: Mild (1\u20131.5 diopters [D]), moderate (1.6\u20132 D), and severe (&gt;2D).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 39 eyes were included in the analysis. This study showed that 2.2 mm OCCIs significantly reduced astigmatism in mild (\u0394TK: 1.22 \u00b1 0.17\u20130.87 \u00b1 0.25 D;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) and moderate (\u0394TK: 1.67 \u00b1 0.15\u20131.27 \u00b1 0.41 D;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) groups from baseline to 1\n                      <jats:sup>st<\/jats:sup>\n                      month and 3\n                      <jats:sup>rd<\/jats:sup>\n                      month. Manifest refraction showed no significant astigmatism change at 1 month but a significant reduction occurred by 3 months. UCVA improved significantly in the mild group from 25.6% to 48.7%, achieving 0\u20130.2 Logarithm of the Minimum Angle of Resolution (LogMAR) by 3 months, while the moderate and severe groups showed no significant changes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Using a 2.2 mm keratome for the main incision as well as OCCIs during phacoemulsification stands out as a safe, effective, and notably low-cost method for correcting a mild-to-moderate degree of astigmatism.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_2670_25","type":"journal-article","created":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T15:00:29Z","timestamp":1790953229000},"page":"S398-S403","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Effect of 2.2 mm opposite clear corneal incisions post phacoemulsification on total corneal astigmatism in a tertiary eye hospital of Eastern India"],"prefix":"10.4103","volume":"74","author":[{"given":"Amit","family":"Raj","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, All India Institute of Medical Sciences, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeba","family":"Khanam","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, All India Institute of Medical Sciences, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheel","family":"Meshram","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, All India Institute of Medical Sciences, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, All India Institute of Medical Sciences, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pragati","family":"Tiwari","sequence":"additional","affiliation":[{"name":"Cornea and Anterior Segment, L V Prasad Eye Institute, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prabhakar","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, All India Institute of Medical Sciences, Kalyani, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prateek","family":"Nishant","sequence":"additional","affiliation":[{"name":"Regional Institute of Ophthalmology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,10,2]]},"reference":[{"key":"R1-20261005","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1016\/j.ajo.2017.06.007","article-title":"Toric intraocular lenses versus 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