{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:24:13Z","timestamp":1787775853364,"version":"build-2784847793"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2024,9,10]],"date-time":"2024-09-10T00:00:00Z","timestamp":1725926400000},"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":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To describe the role of wavefront-guided pupilloplasty in improving visual quality and wavefront parameters in post-keratoplasty patients with pathologically irregular, mydriatic pupils.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 13 eyes of post-penetrating keratoplasty patients with pathologically irregular mydriatic pupil were included in this prospective interventional study. Preoperative wavefront analysis was done with the actual pupil size, and predicted wavefront values were analyzed by setting the postoperative pupil size to 2 mm. Patients showing significant improvement between preoperative and predicted postoperative wavefront values underwent single-pass four-throw pupilloplasty, and all wavefront parameters were again evaluated after 1 week. Preoperative and postoperative best corrected visual acuity (BCVA), pupil size, and wavefront parameters were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Mean BCVA improved from a preoperative value of 1.03 \u00b1 0.32 log of minimum angle of resolution (logMAR) units to 0.24 \u00b1 0.09 logMAR units. Mean preoperative pupil size was 6.077 \u00b1 0.787 mm, whereas the achieved postoperative pupil size after pupilloplasty was 2.538 \u00b1 0.139 mm. Mean astigmatism root mean square (RMS) value improved from 4.169 \u00b1 3.876 to 0.875 \u00b1 0.926 \u00b5m (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05), and mean coma value changed from 1.525 \u00b1 1.962 to 0.128 \u00b1 0.152 \u00b5m (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). Mean point spread function Stehl ratio value improved from 0.056 \u00b1 0.032 to 0.223 \u00b1 0.102. Mean RMS (optical path difference) value changed from 6.248 \u00b1 4.721 to 0.943 \u00b1 0.947 \u00b5m (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), Mean RMS (high orders) value changed from 3.788 \u00b1 3.537 to 0.328 \u00b1 0.256 \u00b5m (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      value 0.003), and the mean spherical aberration value changed from 0.646 \u00b1 0.873 to 0.223 \u00b1 0.102 \u00b5m (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      value 0.024). All postoperative wavefront parameters showed statistically significant improvement from the preoperative parameters.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Wavefront-guided pupilloplasty can predict and improve wavefront parameters and visual quality in post-keratoplasty patients with pathologically irregular mydriatic pupils.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_3346_23","type":"journal-article","created":{"date-parts":[[2024,9,11]],"date-time":"2024-09-11T03:00:43Z","timestamp":1726023643000},"page":"73-76","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Wavefront-guided pupilloplasty in patients following penetrating keratoplasty: Optimizing results"],"prefix":"10.4103","volume":"73","author":[{"given":"Vijay K","family":"Sharma","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Armed Forces Medical College, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"GN","family":"Divyashree","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Command Hospital (Eastern Command), Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Preeti","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Armed Forces Medical College, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikas","family":"Ambiya","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Armed Forces Medical College, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashok","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Armed Forces Medical College, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srishti","family":"Khullar","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Armed Forces Medical College, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vipin","family":"Rana","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Command Hospital (Eastern Command), Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,9,10]]},"reference":[{"key":"R1-20260424","first-page":"25158414231204717","article-title":"Management of post-keratoplasty ametropia","volume":"15","author":"Bineshfar","year":"2023","journal-title":"Ther Adv Ophthalmol"},{"key":"R2-20260424","doi-asserted-by":"crossref","first-page":"1125","DOI":"10.1016\/S0161-6420(00)00112-3","article-title":"Penetrating keratoplasty for keratoconus: Visual outcome and success","volume":"107","author":"Lim","year":"2000","journal-title":"Ophthalmology"},{"key":"R3-20260424","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1097\/01.ico.0000159730.45177.cd","article-title":"Outcomes of penetrating keratoplasty in keratoconus","volume":"24","author":"Javadi","year":"2005","journal-title":"Cornea"},{"key":"R4-20260424","doi-asserted-by":"crossref","first-page":"708736","DOI":"10.1155\/2011\/708736","article-title":"Current approaches for management of postpenetrating keratoplasty astigmatism","volume":"2011","author":"Feizi","year":"2011","journal-title":"J Ophthalmol"},{"key":"R5-20260424","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1097\/ICO.0000000000002131","article-title":"Stepwise combination of femtosecond astigmatic keratotomy with phacoemulsification and toric intraocular lens implantation in treatment of very high postkeratoplasty astigmatism","volume":"39","author":"Sorkin","year":"2020","journal-title":"Cornea"},{"key":"R6-20260424","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1016\/j.clae.2013.11.001","article-title":"Scleral contact lenses for visual rehabilitation after penetrating keratoplasty: Long term outcomes","volume":"37","author":"Severinsky","year":"2014","journal-title":"Cont Lens Anterior Eye"},{"key":"R7-20260424","doi-asserted-by":"crossref","first-page":"2043","DOI":"10.2147\/OPTH.S202054","article-title":"Phakic intraocular lens implantation after deep anterior lamellar keratoplasty: Retrospective case series analysis with long-term follow-up","volume":"13","author":"Malheiro","year":"2019","journal-title":"Clin Ophthalmol"},{"key":"R8-20260424","doi-asserted-by":"crossref","first-page":"1878","DOI":"10.1016\/j.jcrs.2009.05.060","article-title":"Intrastromal corneal ring segment implantation for high astigmatism after penetrating keratoplasty","volume":"35","author":"Arriola-Villalobos","year":"2009","journal-title":"J Cataract Refract Surg"},{"key":"R9-20260424","doi-asserted-by":"crossref","first-page":"976","DOI":"10.1016\/j.ophtha.2006.02.025","article-title":"Three-year follow-up analysis of Artisan toric lens implantation for correction of postkeratoplasty ametropia in phakic and pseudophakic eyes","volume":"113","author":"Tahzib","year":"2006","journal-title":"Ophthalmology"},{"key":"R10-20260424","doi-asserted-by":"crossref","first-page":"120","DOI":"10.4103\/ijo.IJO_559_17","article-title":"Single-pass four-throw pupilloplasty for angle-closure glaucoma","volume":"66","author":"Narang","year":"2018","journal-title":"Indian J Ophthalmol"},{"key":"R11-20260424","doi-asserted-by":"crossref","first-page":"13.","DOI":"10.1186\/s12886-023-02773-z","article-title":"Singlepass fourthrow versus traditional knotting pupilloplasty for traumatic mydriasis combined with lens dislocation","volume":"23","author":"Shen","year":"2023","journal-title":"BMC Ophthalmol"},{"key":"R12-20260424","doi-asserted-by":"crossref","first-page":"841","DOI":"10.4103\/ijo.IJO_1279_17","article-title":"Phacoemulsification with single-pass four-throw pupilloplasty and pre-Descemet\u2019s endothelial keratoplasty for management of cosmetic iris implant complication","volume":"66","author":"Narang","year":"2018","journal-title":"Indian J Ophthalmol"},{"key":"R13-20260424","doi-asserted-by":"crossref","first-page":"209","DOI":"10.4103\/ijo.IJO_885_18","article-title":"Iris and knot configuration after single pass four throw (SFT) pupilloplasty as imaged by the spectral-domain optical coherence tomography","volume":"67","author":"Kumar","year":"2019","journal-title":"Indian J Ophthalmol"},{"key":"R14-20260424","doi-asserted-by":"crossref","first-page":"3177","DOI":"10.3390\/jcm11113177","article-title":"Visual outcomes of pupilloplasty in ocular trauma and iatrogenic damage","volume":"11","author":"Nowomiejska","year":"2022","journal-title":"J Clin Med"},{"key":"R15-20260424","doi-asserted-by":"crossref","first-page":"1595","DOI":"10.1007\/s40123-023-00693-1","article-title":"Corneal higher-order aberrations measurements: Precision of SD-OCT\/Placido topography and comparison with a scheimpflug\/placido topography in eyes after small-incision lenticule extraction","volume":"12","author":"Ning","year":"2023","journal-title":"Ophthalmol Ther"},{"key":"R16-20260424","doi-asserted-by":"crossref","first-page":"16956.","DOI":"10.1038\/s41598-023-44133-3","article-title":"Comparison of corneal measurements using two different Scheimpflug analyzers in Sirius and Pentacam devices","volume":"13","author":"Abdi","year":"2023","journal-title":"Sci Rep"},{"key":"R17-20260424","doi-asserted-by":"crossref","first-page":"1280","DOI":"10.18240\/ijo.2023.08.14","article-title":"One-year clinical efficacy evaluation of selective corneal wavefront aberration-guided FS-LASIK correction in patients with high myopia","volume":"16","author":"Li","year":"2023","journal-title":"Int J Ophthalmol"},{"key":"R18-20260424","doi-asserted-by":"crossref","first-page":"12.","DOI":"10.1186\/s12886-023-02769-9","article-title":"Investigation of contrast visual acuity with rigid gas permeable contact lenses after penetrating Keratoplasty","volume":"23","author":"Zhang","year":"2023","journal-title":"BMC Ophthalmol"},{"key":"R19-20260424","doi-asserted-by":"crossref","first-page":"17","DOI":"10.5935\/0004-2749.20170006","article-title":"Visual rehabilitation using mini-scleral contact lenses after penetrating keratoplasty","volume":"80","author":"Rocha","year":"2017","journal-title":"Arq Bras Oftalmol"}],"container-title":["Indian Journal of 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History"}},{"value":"2024-05-02","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}