Clinical Tolerance to Experimentally Induced with-the-Rule and Against-the-Rule Astigmatism After Implantation of an Extended Depth-of-Focus Intraocular Lens: A Defocus-Curve Study

After EDOF implantation, regular astigmatism of ~+1.00 D is generally tolerated, while +2.00 D and +3.00 D compromise function across the defocus curve. Axis matters: WTR preferentially preserves distance VA and ATR relatively supports intermediate/near performance. These data provide actionable thresholds and axis-aware guidance for toric planning, residual-targeting, and patient counseling.

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Publication Details

Journal
Clinical ophthalmology
Published
2025-12-01
DOI
https://doi.org/10.2147/opth.s569153
Primary Topic
Ophthalmology and Visual Impairment Studies
Type
article
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article

Clinical Tolerance to Experimentally Induced with-the-Rule and Against-the-Rule Astigmatism After Implantation of an Extended Depth-of-Focus Intraocular Lens: A Defocus-Curve Study

César Vilar, Wilson Takashi Hida, Walton Nosé, Celso Takashi Nakano et al.
Clinical ophthalmology
Ophthalmology and Visual Impairment Studies
article

Clinical Tolerance to Experimentally Induced with-the-Rule and Against-the-Rule Astigmatism After Implantation of an Extended Depth-of-Focus Intraocular Lens: A Defocus-Curve Study

César Vilar, Wilson Takashi Hida, Walton Nosé, Celso Takashi Nakano, Jonathan Lake, Pedro Carlos Carricondo, Antônio Francisco Pimenta Motta, Irineu Ribeiro de Melo, Tzelikis Patrick Frensel de Moraes, Leandro Mundim, Mario Augusto Chaves, André de Medeiros, Bernardo Moscovici
article en

Abstract

After EDOF implantation, regular astigmatism of ~+1.00 D is generally tolerated, while +2.00 D and +3.00 D compromise function across the defocus curve. Axis matters: WTR preferentially preserves distance VA and ATR relatively supports intermediate/near performance. These data provide actionable thresholds and axis-aware guidance for toric planning, residual-targeting, and patient counseling.

Clinical ophthalmologyVol. Volume 19
Universidade de São Paulo (BR), Instituto da Visão (BR), Hospital Arnau de Vilanova (ES), Hospital Oftalmologico de Brasília (BR), Associação Paulista de Medicina (BR), Universidade Federal de São Paulo (BR)
Openalex Percentile: Top 29%
Ophthalmology and Visual Impairment Studies
DOIOpen Access PDFOpenAlex
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Clinical Tolerance to Experimentally Induced with-the-Rule and Against-the-Rule Astigmatism After Implantation of an Extended Depth-of-Focus Intraocular Lens: A Defocus-Curve Study — César Vilar, Wilson Takashi Hida, et al. · Clinical ophthalmology (2025) | TGRS Research Map | TGRS