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ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2025

Changes in relative peripheral refraction after implantable collamer lenses implantation.

I-Chun Lin, Mingwei Li, Yinjie Jiang, Guanghan Xu, Mingrui Cheng, Boliang Li, Yadi Lei, Zhiwei Mao, Rui Ning, Xun Chen and 1 more

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In one paragraph

Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

I-Chun Lin *Eye Ear Nose and Throat Hospital, Fudan University, XuHui District, No. 19 BaoQing Road, Shanghai, 200031, China.
Mingwei Li *Eye Ear Nose and Throat Hospital, Fudan University, XuHui District, No. 19 BaoQing Road, Shanghai, 200031, China.
Yinjie JiangEye Ear Nose and Throat Hospital, Fudan University, XuHui District, No. 19 BaoQing Road, Shanghai, 200031, China.
Guanghan XuEye Ear Nose and Throat Hospital, Fudan University, XuHui District, No. 19 BaoQing Road, Shanghai, 200031, China.
Mingrui ChengEye Ear Nose and Throat Hospital, Fudan University, XuHui District, No. 19 BaoQing Road, Shanghai, 200031, China.
Boliang LiEye Ear Nose and Throat Hospital, Fudan University, XuHui District, No. 19 BaoQing Road, Shanghai, 200031, China.
Yadi LeiEye Ear Nose and Throat Hospital, Fudan University, XuHui District, No. 19 BaoQing Road, Shanghai, 200031, China.
Zhiwei MaoEye Ear Nose and Throat Hospital, Fudan University, XuHui District, No. 19 BaoQing Road, Shanghai, 200031, China.
Rui NingEye Ear Nose and Throat Hospital, Fudan University, XuHui District, No. 19 BaoQing Road, Shanghai, 200031, China.
Xun ChenEye Ear Nose and Throat Hospital, Fudan University, XuHui District, No. 19 BaoQing Road, Shanghai, 200031, China. chenxun19910923@163.com.
Xiaoying WangEye Ear Nose and Throat Hospital, Fudan University, XuHui District, No. 19 BaoQing Road, Shanghai, 200031, China. doctxiaoyingwang@163.com.ORCID http://orcid.org/0000-0001-5419-6318

Funding

National Natural Science Foundation of China 82171095Project of Shanghai Science and Technology 23XD1400500Shanghai Shenkang Hospital Development Center SHDC12024148
6 · The paper itself

Abstract

purposeThis study aimed to measure the changes in refraction difference value (RDV) in different parts of the retina before and after implantable collamer lenses (ICL) surgery.

designProspective study.

methodsThis study included 40 eyes of 40 patients who underwent ICL implantation for myopia. RDV measurements were taken across several ranges: 0°-15°, 15°-30°, 30°-45°, and 45°-53°, and categorized into four sectors: superior (RDV-S), inferior (RDV-I), temporal (RDV-T), and nasal (RDV-N), along with total RDV (TRDV). Measurements were taken preoperatively, and at one week and one month postoperatively.

resultsTRDV, RDV beyond 15° eccentricity, and RDV-S, RDV-I, RDV-T, and RDV-N were significantly increased postoperatively. The one-week and one-month follow-up of RDVs had no significant differences. Significant differences in the increments were observed among RDV-15, RDV-15-30, RDV-30-45, and RDV-45-53 both at one-week and one-month follow-up. Similarly, there were significant differences in the increments among RDV-S, RDV-I, RDV-T, and RDV-N both at one-week and one-month follow-up. TRDV, RDV-30-45, RDV-45-53, RDV-S, RDV-T, and RDV-N showed significant differences in the variation preoperatively and postoperatively between the high (SE > -9.00 D) and ultra-high (SE ≤ -9.00 D) myopia groups.

conclusionsPeripheral refraction showed a hyperopic defocused state that can stabilize in the early postoperative period after ICL implantation. The variation in the hyperopic defocused shift in peripheral refraction increased more in the regions farther from the central retina. The temporal regions exhibited the most changes. KEY MESSAGES: WHAT IS KNOWN : Myopia is generally believed to stabilize after adulthood, but some individuals continue to experience myopia progression, accompanied by axial length elongation. Traditional spectacle lenses correct myopia by focusing light on the fovea but may introduce peripheral hyperopic defocus, which is thought to contribute to myopia progression. ICL surgery effectively corrects high degrees of myopia and astigmatism. Previous studies have demonstrated the safety and efficacy of ICL in addressing central refractive errors, but peripheral refraction changes post-surgery have not been well-explored. WHAT IS NEW: ICL surgery increased peripheral hyperopic defocus while correcting central refractive error, with significant changes in peripheral refraction observed from the preoperative to postoperative one-week and one-month.. After ICL implantation, a hyperopic shift was observed in peripheral areas, with RDV values within 15° of the central retina appearing emmetropic and increasing hyperopic defocus noted moving away from the posterior pole. Peripheral refraction stabilized approximately one week after ICL surgery, with no significant differences observed between the one-week and one-month follow-ups, indicating that stability in peripheral refraction is typically achieved within this timeframe.

Indexed as

Lens Implantation, IntraocularMyopiaPhakic Intraocular LensesRefraction, OcularVisual AcuityAdultFemaleFollow-Up StudiesHumansMaleMiddle AgedPostoperative PeriodProspective StudiesYoung AdultImplantable collamer lensesMyopiaPeripheral defocusRefraction difference value

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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.