Evidence map›Paper›PMID 40471381›Full record

Trial reportInternational ophthalmology2025

Comparing toric intraocular lens alignment: intraoperative image-guided system versus manual marking in cataract surgery: a randomized clinical trial.

Amit Nandan Tripathi, Santosh Kumar, Vijay Kumar Sharma, Vipin Rana, Kalpamoi Kakati, Ranjit Goenka, Sandepan Bandopadhyay

Abstract readRandomized Controlled TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in International ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. [Current applications and prospects of artificial intelligence in burn diagnosis and treatment].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Review
  3. 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

7 authors.

Amit Nandan TripathiDepartment of Ophthalmology, Command Hospital Eastern Command, C/O 56 APO Alipore, Kolkata, West Bengal, India.
Santosh KumarDepartment of Ophthalmology, Command Hospital Eastern Command, C/O 56 APO Alipore, Kolkata, West Bengal, India.
Vijay Kumar SharmaDepartment of Ophthalmology, Armed Forces Medical College, Pune, Maharashtra, India.
Vipin RanaDepartment of Ophthalmology, Command Hospital Eastern Command, C/O 56 APO Alipore, Kolkata, West Bengal, India. arv_198290@yahoo.com.
Kalpamoi KakatiDepartment of Ophthalmology, Command Hospital Eastern Command, C/O 56 APO Alipore, Kolkata, West Bengal, India.
Ranjit GoenkaDepartment of Ophthalmology, Command Hospital Eastern Command, C/O 56 APO Alipore, Kolkata, West Bengal, India.
Sandepan BandopadhyayDepartment of Ophthalmology, Base Hospital, Delhi Cant, New Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the accuracy of toric intraocular lens (IOL) alignment using the image-guided Callisto Eye system (M/S Carl Zeiss Meditech AG, Germany) versus the conventional manual marking method (Bubble marker) in cataract surgery.

designProspective, single-centre, double-masked, randomized controlled trial with two comparative arms. The study was registered with the Clinical Trial Registry of India (CTRI/2023/07/055833).

methodsA total of 76 patients aged 18 years or older, with cataract and corneal astigatism greater than 1.25 diopters (D), were enrolled. Patients were randomly assigned to either the image-guided group (Group 1 n = 38) or the manual marking group (Group 2 n = 38). Group 1 underwent IOL alignment using the Callisto Eye system, while Group 2 used the bubble marker manual technique. The primary outcome measure was IOL misalignment on postoperative day (POD) 1. Secondary outcomes included rotational stability, residual astigmatism, and uncorrected distance visual acuity (UDVA) on POD 30.

resultsThe mean IOL misalignment on POD 1 was 2.7 ± 3.6 degrees in Group 1 and 4 ± 3.1 degrees in Group 2, with no statistically significant difference (P = 0.108). Rotational stability showed a mean change of 0.71 ± 1.3 degrees in Group 1 and 0.78 ± 1.5 degrees in Group 2 (P = 0.815). Residual astigmatism was comparable between the groups (P = 0.176), and UDVA was similar, with no significant differences (P = 0.595).

conclusionBoth the image-guided Callisto Eye system and the manual marking method demonstrated statistically equivalent effectiveness in toric IOL alignment, rotational stability, residual astigmatism, and UDVA.

Indexed as

AstigmatismCataract ExtractionLenses, IntraocularLens Implantation, IntraocularRefraction, OcularSurgery, Computer-AssistedVisual AcuityAgedDouble-Blind MethodFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesProsthesis DesignCataract surgeryImage-guided surgeryManual markingToric intraocular lens

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Registered trials

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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.