Evidence map›Paper›PMID 40524358›Full record

ArticleJournal of cataract and refractive surgery2025

Refractive, visual, and safety outcomes of three surgical techniques for aphakia correction.

Liam D Redden, David Hoang, Nitin Rangu, David A Murphy, Kai Ding, Jascha Wendelstein, Kamran M Riaz

Abstract readComparative Study
In one paragraph

Article in Journal of cataract and refractive surgery, 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
0cells of the map it votes in
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

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

2 citing papers in PubMed.

  1. Article
  2. 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.

Liam D ReddenFrom the Dean McGee Eye Institute, University of Oklahoma, Oklahoma City, Oklahoma (Redden, Murphy, Riaz); College of Medicine, University of Oklahoma, Oklahoma City, Oklahoma (Hoang, Rangu); Department of Biostatistics and Epidemiology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma (Ding); Institut für Refraktive und Ophthalmo-Chirurgie (IROC), Zurich, Switzerland (Wendelstein); University Eye Hospital, Ludwig-Maximilians-University, Munich, Germany (Wendelstein); Institute of Experimental Ophthalmology, Saarland University, Homburg, Germany (Wendelstein).ORCID 0009-0009-4238-8887
David Hoang
Jascha WendelsteinORCID 0000-0003-4145-2559

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare refractive, visual, and safety outcomes of 3 methods for surgical correction of aphakia: anterior chamber intraocular lens (AC IOL), intrascleral haptic fixation intraocular lens (ISHF-IOL), and Gore-Tex suture fixation of modified eyelet toric intraocular lens (GSF-MET IOL).

settingTertiary care academic center.

designMultisurgeon retrospective case series.

methodsReview of 357 eyes undergoing one of the above 3 techniques between 2017 and 2024. Comparative refractive (defocus [spherical equivalent (SE)], astigmatism [refractive cylinder (RefCyl)], and blur [defocus equivalent]), visual acuity (corrected distance visual acuity [CDVA]), and safety outcomes (cystoid macular edema and return to the operating room [ROR] events) were recorded. Owing to concerns about IOL tilting with one of the models, a subgroup analysis was performed on 2 IOL models within the ISHF group. Statistical analyses included descriptive statistics, chi-square tests, 1-way analysis of variance, and 2-sample t testing.

resultsAll 3 groups had similar SE ( P = .87), RefCyl ( P = .91), and CDVA in eyes without significant comorbidities ( P = .23). ROR was similar among all groups ( P = .08). Within the ISHF-IOL group, CT Lucia 602 and Sensar AR40 had similar SE and RefCyl ( P = .18 and P = .15, respectively). CDVA was similar in eyes without significant comorbidities for both IOL models ( P = .70). ROR was significantly higher with CT Lucia 602 than with Sensar AR40 ( P = .03).

conclusionsAll 3 surgical techniques can provide good refractive, visual acuity, and safety outcomes. Within the ISHF-IOL group, the Sensar AR40 had lower ROR rates than the CT Lucia 602, with similar CDVA outcomes.

Indexed as

Aphakia, PostcataractLens Implantation, IntraocularRefraction, OcularSuture TechniquesVisual AcuityAdultAgedFemaleHumansLenses, IntraocularMaleMiddle AgedPhacoemulsificationRetrospective Studies

Identifiers

PMID40524358
PMCPMC12582599

What OpenQuestion holds

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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.