Evidence map›Paper›PMID 41521495›Full record

ArticleJournal of cataract and refractive surgery2026

Comparative effectiveness of VISUMAX 800 with keratorefractive lenticule extraction and FS-LASIK in the treatment of myopic astigmatism.

Husna Topcu, Mehmet Altun, Mevlut Celal Ocal, Dilek Yasa, Gonul Karatas Durusoy, Bulent Kose

Abstract readComparative Study
In one paragraph

Article in Journal of cataract and refractive surgery, 2026. 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. Article
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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

6 authors.

Husna TopcuFrom the Department of Ophthalmology, Aritmi Osmangazi Hospital, Bursa, Türkiye (Topcu, Altun, Ocal, Durusoy, Kose); Department of Ophthalmology, Istinye University Faculty of Medicine, Istanbul, Türkiye (Yasa).ORCID 0000-0002-2213-6289
Mevlut Celal OcalORCID 0000-0002-1793-2600
Gonul Karatas DurusoyORCID 0000-0001-7768-9430

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the visual and refractive outcomes of keratorefractive lenticule extraction (KLEx) using the VISUMAX 800 femtosecond laser and femtosecond laser-assisted in situ keratomileusis (FS-LASIK) performed using the VISUMAX 800 femtosecond laser and the EX500 excimer laser in the treatment of myopic astigmatism.

settingSingle-center, private ophthalmology center.

designRetrospective comparative study.

methods237 eyes (133 KLEx, 104 FS-LASIK) were evaluated. Cyclotorsion alignment in KLEx was achieved using the Callisto Eye system integrated with VISUMAX 800. Refractive outcomes, vector analysis (Alpins method), and safety and efficacy indices were compared between groups at 1 month and 6 months postoperatively.

resultsAt 6 months, both groups achieved comparable uncorrected distance visual acuity (0.01 ± 0.04 logMAR) and corrected distance visual acuity. Mean spherical equivalent was closer to emmetropia in the KLEx group (-0.04 ± 0.18 diopters [D] vs -0.10 ± 0.15 D, P = .007). Residual cylinder was lower in KLEx (-0.14 ± 0.19 D vs -0.20 ± 0.20 D, P = .010). Vector analysis showed lower difference vector in KLEx (0.14 ± 0.19 D vs 0.21 ± 0.21 D, P = .009), while FS-LASIK had a slightly higher correction index (correction index: 1.02 vs 0.97, P = .005).

conclusionsBoth KLEx and FS-LASIK performed using the VISUMAX 800 achieved excellent refractive outcomes, with KLEx procedures incorporating an image-guided static cyclotorsion alignment strategy and demonstrating excellent refractive and vector analysis results.

Indexed as

AstigmatismCorneal StromaKeratomileusis, Laser In SituLasers, ExcimerMyopiaAdultFemaleHumansMaleRefraction, OcularRetrospective StudiesTreatment OutcomeVisual AcuityYoung Adult

Identifiers

PMID41521495
PMCPMC13200895

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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.