Evidence map›Paper›PMID 41647026›Full record

ArticleFrontiers in medicine2025

Prevalence and clinical relevance of corneal astigmatism in cataract surgery candidates: a southern Italian cohort study.

Francesco D'Oria, Pasquale Puzo, Ali Nowrouzi, Francesco Boscia, Giovanni Alessio

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Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Francesco D'OriaSection of Ophthalmology, Department of Translational Biomedicine and Neuroscience, University of Bari, Bari, Italy.
Pasquale PuzoSection of Ophthalmology, Department of Translational Biomedicine and Neuroscience, University of Bari, Bari, Italy.
Ali NowrouziDepartment of Ophthalmology, Hospital Quirónsalud Marbella, Marbella, Spain.
Francesco BosciaSection of Ophthalmology, Department of Translational Biomedicine and Neuroscience, University of Bari, Bari, Italy.
Giovanni AlessioSection of Ophthalmology, Department of Translational Biomedicine and Neuroscience, University of Bari, Bari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Corneal astigmatism is a major determinant of visual outcomes after cataract surgery, and its accurate preoperative characterization is essential for surgical planning and toric intraocular lens (IOL) selection. Data from Southern European populations remain limited. Methods: We conducted a retrospective cohort study including 600 eyes from 306 consecutive cataract patients aged ≥ 40 years undergoing preoperative biometry at a tertiary university hospital in Southern Italy. Axial length (AL), anterior chamber depth (ACD), keratometric power (K), and corneal astigmatism (CA) were measured using partial coherence interferometry. Results: The mean patient age was 72.5 ± 8.5 years. The mean AL, ACD, and average K were 23.5 ± 1.6 mm, 3.1 ± 0.5 mm, and 43.9 ± 1.5 D, respectively. The mean CA was 1.02 ± 0.76 D. Notably, 39.8% of eyes had CA ≥ 1.0 D and 9.3% had CA ≥ 2.0 D. Eyes with AL > 26 mm accounted for 7.1% of the cohort. Conclusion: A substantial proportion of cataract patients in Southern Italy present with clinically significant corneal astigmatism, highlighting the importance of systematic preoperative screening. These findings support the routine consideration of toric IOLs to optimize refractive outcomes and meet the rising expectations of cataract surgery patients.

Indexed as

axial lengthcataract surgerycorneal astigmatismocular biometrytoric IOL

Identifiers

PMID41647026
PMCPMC12867875

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