Evidence map›Paper›PMID 41008756›Full record

ReviewDiagnostics (Basel, Switzerland)2025

Clinical Applications of Anterior Segment Optical Coherence Tomography in Managing Phakic and Secondary Intraocular Lens Implants: A Comprehensive Review.

José Ignacio Fernández-Vigo, Bárbara Burgos-Blasco, Lucía De-Pablo-Gómez-de-Liaño, Ignacio Almorín-Fernández-Vigo, Pedro Arriola-Villalobos, Diego Ruiz-Casas, Ana Macarro-Merino, José Ángel Fernández-Vigo

Abstract readReview
In one paragraph

Review in Diagnostics (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
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.

José Ignacio Fernández-VigoDepartment of Ophthalmology, Hospital Clínico San Carlos, San Carlos Health Research Institute (IdISSC), 28040 Madrid, Spain.ORCID 0000-0001-8745-3464
Bárbara Burgos-BlascoDepartment of Ophthalmology, Hospital Clínico San Carlos, San Carlos Health Research Institute (IdISSC), 28040 Madrid, Spain.ORCID 0000-0003-2178-6164
Lucía De-Pablo-Gómez-de-LiañoDepartment of Ophthalmology, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain.
Ignacio Almorín-Fernández-VigoCentro Internacional de Oftalmología Avanzada, 06011 Badajoz, Spain.ORCID 0000-0003-4567-348X
Pedro Arriola-VillalobosDepartment of Ophthalmology, Hospital Clínico San Carlos, San Carlos Health Research Institute (IdISSC), 28040 Madrid, Spain.
Diego Ruiz-CasasDepartment of Ophthalmology, Hospital Ramón y Cajal, 28034 Madrid, Spain.
Ana Macarro-MerinoCentro Internacional de Oftalmología Avanzada, 28010 Madrid, Spain.
José Ángel Fernández-VigoCentro Internacional de Oftalmología Avanzada, 28010 Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anterior segment optical coherence tomography (AS-OCT) has emerged as a crucial imaging technique in ophthalmology, particularly for evaluating intraocular structures and the behavior of phakic and secondary intraocular lenses (IOLs). This narrative review summarizes the latest findings and clinical applications of OCT regarding phakic and secondary IOLs, focusing on their effectiveness, safety, and factors influencing performance. Through a comprehensive analysis of current literature, we explore how OCT facilitates the assessment of IOLs on key anatomical parameters-such as vault, angle configuration, lens centration, tilt, and haptic positioning-essential for optimizing surgical outcomes and minimizing postoperative complications. In phakic IOLs, including posterior chamber lenses such as the Implantable Collamer Lens (ICL, STAAR Surgical, Monrovia, CA, USA) and iris-fixated lenses, such as Artiflex (Ophtec BV, Groningen, The Netherlands), OCT enables precise evaluation of the anterior segment, aiding both candidate selection and long-term monitoring. In secondary implants for aphakia-especially iris-fixated lenses like Artisan (Ophtec BV, Groningen, The Netherlands) and sutureless scleral-fixated lenses such as the Carlevale IOL (Soleko, Rome, Italy)-or those implanted via the Yamane technique, OCT provides high-resolution visualization of haptic fixation, IOL stability, and potential complications, including tilt or decentration. This review also highlights comparative insights between fixation techniques, underscores the need for standardized OCT protocols, and discusses the integration of artificial intelligence tools. In summary, the routine use of OCT in the preoperative and postoperative management of phakic and secondary IOLs has been increasingly incorporated into clinical practice, as it enhances clinical decision-making and improves patient outcomes.

Indexed as

aphakiccataractintraocular lensoptical coherence tomographyphakic lensesrefractive surgerysecondary intraocular lens implant

Identifiers

PMID41008756
PMCPMC12468152

What OpenQuestion holds

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LicenceCC BY
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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.