Evidence map›Paper›PMID 40195538›Full record

Observational studyScientific reports2025

Clinical outcomes of plate-haptic diffractive multifocal toric IOL in cataract eyes with long axial length and corneal astigmatism.

Zhe Xu, Jingwen Wang, Ce Shi, Shuang Ni, Jingwei Xu, Sha Zhu, Jianxia Fang, Wen Xu

Registry-linked trialAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04833491 (Study of the Correlation Between Preoperative Precise Biometrics, Spatial Assessment and Postoperative Visual Quality in Cataract Patients), which is not on this 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.

NCT04833491 recruitingnot on this map

Study of the Correlation Between Preoperative Precise Biometrics, Spatial Assessment and Postoperative Visual Quality in Cataract Patients

TypeobservationalSponsorSecond Affiliated Hospital, Zhejiang University, School of MedicineRan2021 to 2026Enrolled1,000ConditionsRecruitment of Participants
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

8 authors.

Zhe Xu *Eye Center, the Second Affiliated Hospital, School of Medicine, Zhejiang University, No. 88 Jiefang Road, Hangzhou, 310009, Zhejiang, China.
Jingwen Wang *Eye Center, the Second Affiliated Hospital, School of Medicine, Zhejiang University, No. 88 Jiefang Road, Hangzhou, 310009, Zhejiang, China.
Ce ShiEye Center, the Second Affiliated Hospital, School of Medicine, Zhejiang University, No. 88 Jiefang Road, Hangzhou, 310009, Zhejiang, China.
Shuang NiEye Center, the Second Affiliated Hospital, School of Medicine, Zhejiang University, No. 88 Jiefang Road, Hangzhou, 310009, Zhejiang, China.
Jingwei XuEye Center, the Second Affiliated Hospital, School of Medicine, Zhejiang University, No. 88 Jiefang Road, Hangzhou, 310009, Zhejiang, China.
Sha ZhuEye Center, the Second Affiliated Hospital, School of Medicine, Zhejiang University, No. 88 Jiefang Road, Hangzhou, 310009, Zhejiang, China.
Jianxia FangEye Center, the Second Affiliated Hospital, School of Medicine, Zhejiang University, No. 88 Jiefang Road, Hangzhou, 310009, Zhejiang, China.
Wen XuEye Center, the Second Affiliated Hospital, School of Medicine, Zhejiang University, No. 88 Jiefang Road, Hangzhou, 310009, Zhejiang, China. xuwen2003@zju.edu.cn.

Funding

National Key Research and Development Program of China 2020YFE0204400National Nature Science Foundation of China 52203191National Nature Science Foundation of China 82271042Zhejiang Province Key Research and Development Program 2023C03090Zhejiang Province Natural Science Foundation LTGY24H120004
6 · The paper itself

Abstract

The prospective study is aimed to determine the clinical outcomes of plate-haptic diffractive multifocal toric intraocular lens (IOL) implantation in cataract patients with long axial length and corneal astigmatism. Visual outcomes, defocus curves, contrast sensitivity, rotational stability, vector changes of refractive astigmatism and patient satisfaction were assessed over 3 months. Vector analysis was performed by the Alpins method. A total of 36 eyes (18 patients) underwent cataract surgery with implantation of AT LISA toric 909 M multifocal toric IOL. Preoperatively, mean axial length AL was 27.31 ± 2.20 mm. Mean manifest sphere and cylinder were - 6.66 ± 5.37 diopter (D) and - 1.88 ± 1.11 D. Postoperatively, mean manifest sphere and cylinder were reduced to 0.13 ± 0.23 D and - 0.29 ± 0.32 D, respectively (P < 0.05, Wilcoxon test). Mean uncorrected distance and near visual acuities (logMAR) were 0.40 ± 0.10 and 0.19 ± 0.16, respectively. At 3 months, 91.7% of patients showed IOL rotation of less than 5 degrees. The difference vector was 0.34 ± 0.26 D, for a correction index of 0.93 ± 0.40 at 3 months. In summary, plate-haptic diffractive multifocal toric IOL improves distance and near visual functions and reduces refractive astigmatism in cataract patients with long axial length and corneal astigmatism.Trial registration: NCT04833491.

Indexed as

AstigmatismAxial Length, EyeCataractLens Implantation, IntraocularMultifocal Intraocular LensesAgedAged, 80 and overCataract ExtractionCorneaFemaleHumansLenses, IntraocularMaleMiddle AgedPatient SatisfactionProspective StudiesCataract surgeryCorneal astigmatismLong axial lengthMultifocal toric IOL

Identifiers

PMID40195538
PMCPMC11977217

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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.