Evidence map›Paper›PMID 40175580›Full record

ArticleInternational ophthalmology2025

Quantifying posterior corneal astigmatism's contribution to ocular residual astigmatism: implications for personalized refractive surgery.

Jian Lin, Dexiang An, Haiqian Wu, Yun Lu, Bin Wang, Dongmei Yan

Abstract read
In one paragraph

Article in International ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
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2citing 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

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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

2 citing papers in PubMed.

  1. Article
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4 · The record

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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

6 authors.

Jian LinLianyungang Maternal and Child Health Hospital, Lianyungang, 222000, Jiangsu, China.
Dexiang AnLianyungang Maternal and Child Health Hospital, Lianyungang, 222000, Jiangsu, China.
Haiqian WuLianyungang Maternal and Child Health Hospital, Lianyungang, 222000, Jiangsu, China.
Yun LuLianyungang Maternal and Child Health Hospital, Lianyungang, 222000, Jiangsu, China.
Bin WangAffiliated Children's Hospital of Jiangnan University, Wuxi, 214000, Jiangsu, China. easy2000@163.com.ORCID http://orcid.org/0009-0007-1385-6309
Dongmei YanLianyungang Maternal and Child Health Hospital, Lianyungang, 222000, Jiangsu, China. 596751675@qq.com.ORCID http://orcid.org/0000-0001-7504-5762

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine the main sources of ocular residual astigmatism (ORA) and to quantify the contribution of posterior corneal astigmatism (PCA) to ORA.

methodsThis cross-sectional study was conducted on 177 right eyes of 177 patients. Anterior corneal astigmatism (ACA) and PCA were obtained from Pentacam. ORA was calculated by the vector difference between refractive astigmatism (RA) and ACA. The Pearson correlation coefficient was employed to assess relationships between variables, and the contribution of PCA to ORA was assessed using a physical method.

resultsThe mean magnitude of PCA was 0.40 ± 0.15 D (range 0.10-0.70 D), while the mean ORA was 0.69 ± 0.33 D (range 0.05-1.63 D). There was a statistically significant correlation between the magnitudes of PCA and ORA (r = 0.38, P < 0.001). PCA had a positive effect on ORA in 171 eyes (96.61%), with a mean contribution value (CV) of 0.37 ± 0.16 D (range 0.01-0.70 D). The against-the-rule PCA exhibited both positive and negative effects on with-the-rule and oblique ORA, whereas with-the-rule, against-the-rule, and oblique PCA all positively influenced against-the-rule ORA. In 85 eyes (49.71%), the CV exceeded half of the ORA magnitude. In a small subset of eyes, PCA had a negative effect on ORA, potentially exceeding its magnitude.

conclusionsApproximately half of the magnitude of ORA comes from PCA. The CV/ORA ratio may be used to personalize the surgical method proposed by Alpins, resulting in better outcomes.

Indexed as

AstigmatismCorneaRefraction, OcularRefractive Surgical ProceduresVisual AcuityAdolescentAdultAgedCorneal TopographyCross-Sectional StudiesFemaleHumansMaleMiddle AgedYoung AdultOcular residual astigmatismPosterior corneal astigmatismRefractive surgery

Identifiers

PMID40175580
PMCPMC11965243

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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.