SynthesisGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2022
Cataract surgery astigmatism incisional management. Manual relaxing incision versus femtosecond laser-assisted arcuate keratotomy. A systematic review.
Synthesis in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 40 citations in OpenAlex.
- Femtosecond Laser Arcuate Keratotomy vs Toric Intraocular Lens Implantation in Cataract Surgery: A Randomized Clinical Trial.JAMA ophthalmology · 2025Trial
- Efficacy comparison of moderate to severe astigmatism: implantable collamer lens combined with paired opposite clear corneal incisions versus toric implantable collamer lens.BMC ophthalmology · 2026Article
- Article
- Comparative effectiveness of toric IOLs and LRIs for correction of moderate regular astigmatism during phacoemulsification.Scientific reports · 2025Article
- Vector analysis valuation of astigmatism in the cornea after femtosecond laser-assisted corneal astigmatism incision in cataract surgery.BMC ophthalmology · 2025Article
- Updated study on demographic and ocular biometric characteristics of cataract patients indicates new trends in cataract surgery.Scientific reports · 2025Article
- Lab-in-a-Fiber detection and capture of cells.Scientific reports · 2025Article
- Femtosecond laser versus manual clear corneal incision in implantable collamer lens surgery.Scientific reports · 2025Article
- Factors Associated With Postoperative Outcomes in Femtosecond Laser-Assisted Cataract Surgery.Cureus · 2025Article
- Five Years Follow-Up Outcomes of Femtosecond Laser-Assisted Cataract Surgery on Patients with Preexisting Corneal Astigmatism.International medical case reports journal · 2025Article
- Comparative Outcomes of Robotic Laser Arcuate Keratotomy and Toric Intraocular Lenses for the Management of Lower Magnitude Astigmatism at the Time of Cataract Surgery.Clinical ophthalmology (Auckland, N.Z.) · 2025Article
- Clinical Effects Observation of ICL Implantation With Personalized Surgically Induced Astigmatism for Correcting Low to Moderate Astigmatism With Myopia in Patients.Journal of ophthalmology · 2025Article
- Predicting the impact of femtosecond-assisted arcuate keratotomy combined with tri-planar clear corneal incisions on astigmatism in implantable collamer lens surgery: one-year follow-up.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024Article
- Comparison of short-term clinical outcomes of a diffractive trifocal intraocular lens with phacoemulsification and femtosecond laser assisted cataract surgery.BMC ophthalmology · 2024Observational
- Astigmatism Management in Modern Cataract Surgery.Vision (Basel, Switzerland) · 2024Review
- Refractive outcomes after V4c Toric collamer lens implantation over 1y of follow-up.International journal of ophthalmology · 2024Article
- Managing low corneal astigmatism in patients with presbyopia correcting intraocular lenses: a narrative review.BMC ophthalmology · 2023Review
- Effectiveness of toric soft contact lenses for vision correction in patients with different degrees of astigmatism: a real-world study.International journal of ophthalmology · 2023Article
- Repeated Femtosecond Laser-Assisted Astigmatic Keratotomies in Post-Keratoplasty Eyes.Journal of clinical medicine · 2022Article
- Efficacy of image-guided accurate limbal relaxing incisions for astigmatism correction during cataract surgery.Advances in ophthalmology practice and researchArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis systematic review aims to compare corneal astigmatism correction in cataract surgery through corneal relaxing incision, manually and femtosecond laser assisted.
methodsThe study was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement recommendations. We used PubMed, Scopus, and Web of Science (WOS) as databases from January 2010 to March 30, 2021. Patients with keratoconus, corneal ectasia, and a previous history of eye surgery were excluded because our aim was to analyze only healthy eyes.
resultsA total of 1025 eyes were evaluated from 946 patients (mean age was 68.90 ± 5.12) in manual incision group articles, while 1905 eyes of 1483 patients (mean age was 65.05 ± 4.57) were evaluated in femtosecond laser arcuate keratotomy (FLAK) articles. The mean uncorrected distance visual acuity (UDVA) was 0.19 ± 0.12 and 0.15 ± 0.05 logMAR for manual incision and FLAK articles, respectively (p = 0.39). The mean correction index (CI) was similar in both groups: 0.77 ± 0.18 in manual incision and 0.79 ± 0.17 in femtosecond laser assisted incision (p = 0.70). Refractive stability was found after 3 months and no serious complications were reported during the follow-up in any group.
conclusionBoth techniques are safe and moderately effective in corneal astigmatism correction in cataract surgery. FLAK represents a more precise and predictable approach. However, since visual and refractive outcomes appear to be similar in both cases, the cost-benefit analysis is controversial.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.