{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T14:52:43Z","timestamp":1791211963164,"version":"4.1.0"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 3","license":[{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"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 compare the effectiveness of femtosecond laser\u2013assisted capsular marking and manual slit-lamp marking methods in correcting astigmatism during cataract surgery, for accurate positioning of toric intraocular lenses (IOLs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The medical records of 35 eyes that underwent preoperative manual marking with implantation of AcrySof IQ PanOptix (Alcon Laboratories, Fort Worth, TX) toric trifocal lens (Group 1), and 35 eyes that underwent the same toric trifocal lens implantation using femtosecond laser IntelliAxis software (Group 2), between 2019 and 2024, were retrospectively reviewed. Pre- and postoperative uncorrected and corrected visual acuity, preoperative corneal astigmatism, postoperative residual astigmatism, and slit-lamp and fundus examinations were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      In the manual-marking group, the mean preoperative corneal astigmatism was 2.11 \u00b1 0.66 D, while the postoperative astigmatism was 0.51 \u00b1 0.17 D. In the femtosecond laser marking group, the mean preoperative corneal astigmatism was 2.06 \u00b1 0.61 D, and the postoperative astigmatism was 0.38 \u00b1 0.13 D. Both groups demonstrated a statistically significant reduction in astigmatism values before and after surgery (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). Postoperative residual astigmatism was lower in the femtosecond group, and the difference between the two groups was statistically significant (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Both femtosecond laser\u2013assisted and manual-marking methods are effective techniques for toric lens alignment. However, the femtosecond laser\u2013assisted method was found to be statistically superior in correcting astigmatism. Additionally, femtosecond laser marking offers several advantages over manual marking. It is less surgeon-dependent, requires less experience, shortens the procedure time, and eliminates ink-related complications during surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_3062_25","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T07:00:14Z","timestamp":1787554814000},"page":"S404-S409","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of manual marking and femtosecond laser\u2013assisted capsular marking methods for toric intraocular lens alignment"],"prefix":"10.4103","volume":"74","author":[{"given":"Dincer","family":"Dinc","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Dunyagoz Hospital, Istanbul, Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,8,24]]},"reference":[{"key":"R1-20261005","doi-asserted-by":"crossref","first-page":"1479","DOI":"10.1016\/j.jcrs.2010.02.025","article-title":"Analysis of biometry and prevalence data for corneal astigmatism in 23,239 eyes","volume":"36","author":"Hoffmann","year":"2010","journal-title":"J Cataract Refract Surg"},{"key":"R2-20261005","doi-asserted-by":"crossref","first-page":"1169","DOI":"10.1007\/s00417-023-06305-9","article-title":"Tolerance to residual astigmatism of an isofocal intraocular lens","volume":"262","author":"P\u00e9rez-Sanz","year":"2024","journal-title":"Graefes Arch Clin Exp Ophthalmol"},{"key":"R3-20261005","doi-asserted-by":"crossref","first-page":"311","DOI":"10.2147\/OPTH.S124580","article-title":"A comparison of three different corneal marking methods used to determine cyclotorsion in the horizontal 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implantation","volume":"43","author":"Mayer","year":"2017","journal-title":"J Cataract Refract Surg"},{"key":"R10-20261005","doi-asserted-by":"crossref","first-page":"e673","DOI":"10.1111\/aos.13063","article-title":"Femtosecond laser intrastromal incisions as fiducial marks for alignment of toric IOLs","volume":"94","author":"Fadlallah","year":"2016","journal-title":"Acta Ophthalmol"},{"key":"R11-20261005","doi-asserted-by":"crossref","first-page":"104772","DOI":"10.1016\/j.pdpdt.2025.104772","article-title":"Comparison of manual, image-guided, and femtosecond laser-assisted marking techniques for toric intraocular lens alignment","volume":"55","author":"Yang","year":"2025","journal-title":"Photodiagnosis Photodyn Ther"},{"key":"R12-20261005","doi-asserted-by":"crossref","first-page":"1177","DOI":"10.1016\/j.jcrs.2019.03.021","article-title":"Femtosecond laser-assisted capsulotomy with capsular marks for toric IOL alignment: Comparison of tensile strength with standard femtosecond laser capsulotomy","volume":"45","author":"Teuma","year":"2019","journal-title":"J Cataract Refract Surg"},{"key":"R13-20261005","doi-asserted-by":"crossref","first-page":"536","DOI":"10.3928\/1081597X-20200602-01","article-title":"Comparison of toric intraocular lens alignment between femtosecond laser-assisted capsular marking and manual corneal marking","volume":"36","author":"Cao","year":"2020","journal-title":"J Refract Surg"},{"key":"R14-20261005","doi-asserted-by":"crossref","first-page":"4009","DOI":"10.1007\/s10792-021-01973-0","article-title":"Outcomes of toric IOL implantation guided by iris-registered femtosecond laser capsulotomy markings","volume":"41","author":"O\u2019Neill","year":"2021","journal-title":"Int Ophthalmol"},{"key":"R15-20261005","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1097\/ICU.0000000000000820","article-title":"Recent developments in anterior capsulotomy for cataract 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