ArticleIndian journal of ophthalmology2021
The relationship between angle kappa and astigmatism after phacoemulsification with implanting of spherical and aspheric intraocular lens.
Article in Indian journal of ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed.
- Angle Kappa in Patients with Cataracts and High Myopia.Ophthalmology and therapy · 2026Article
- Measurement of static and dynamic pupillary characteristics after implantable collamer lens by sirius anterior segment analysis system.Scientific reports · 2025Article
- Article
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5 authors.
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Abstract
purposeTo determine the significance of any association between either change in angle kappa (Κ°) or the rectilinear displacement (L, mm) of the first Purkinje image relative to the pupil center and unexpected changes in astigmatism after phacoemulsification.
methodsOrbscan II (Bausch and Lomb) measurements were taken at 1, 2, and 3 months after unremarkable phacoemulsification in patients implanted with spherical (group 1, SA60AT, Alcon) or aspheric (group 2, SN60WF, Alcon) nontoric IOLs. The outputs were used to calculate L. Astigmatism, measured by autorefractometry and subjective refraction, was subjected to vector analysis (polar and cartesian formats) to determine the actual change induced over the periods 1-2 and 2-3 months postop.
resultsChief findings were that the mean (n, ±SD, 95%CI) values for L over each period were as follows: Group 1, 0.407 (38, ±0.340, 0.299-0.521), 0.315 (23, ±0.184, 0.335-0.485); Group 2, 0.442 (45, ±0.423, 0.308-0.577), 0.372 (26, ±0.244, 0.335-0.485). Differences between groups were not significant. There was a significant linear relationship between (A) the change in Κ (ΔΚ = value at 1 month-value at 2 months) and Κ at 1 month (x), where ΔΚ =0.668-3.794X (r = 0.812, n = 38, P = <0.001) in group 1 and ΔΚ = 0.263x -1.462 (r = 0.494, n = 45, P = 0.002) in group 2, (B) L and the J
conclusionChanges in the location of the first Purkinje image relative to the pupil center after phacoemulsification contributes to changes in refractive astigmatism. However, the relationship between the induced change in astigmatism resulting from a change in L is not straightforward.
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