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Avetisov S.E.

Krasnov Research Institute of Eye Disease;
I.M. Sechenov First Moscow State Medical University (Sechenov University)

Yevdokimova A.N.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Voronin G.V.

Krasnov Research Institute of Eye Diseases;
I.M. Sechenov First Moscow State Medical University (Sechenov University)

Avetisov K.S.

Krasnov Research Institute of Eye Disease

Shkolyarenko N.Yu.

Krasnov Research Institute of Eye Diseases

Borisenko T.E.

Krasnov Research Institute of Eye Diseases

The impact of the lens component on the formation of regular total astigmatism

Authors:

Avetisov S.E., Yevdokimova A.N., Voronin G.V., Avetisov K.S., Shkolyarenko N.Yu., Borisenko T.E.

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Journal: Russian Annals of Ophthalmology. 2025;141(5): 38‑45

DOI: 10.17116/oftalma202514105138

Read: 393 times

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Table of contents

THE IMPACT OF THE LENS COMPONENT ON THE FORMATION OF REGULAR TOTAL ASTIGMATISM
THE IMPACT OF THE LENS COMPONENT ON THE FORMATION OF REGULAR TOTAL ASTIGMATISM

To cite this article:

Avetisov SE, Yevdokimova AN, Voronin GV, Avetisov KS, Shkolyarenko NYu, Borisenko TE. The impact of the lens component on the formation of regular total astigmatism. Russian Annals of Ophthalmology. 2025;141(5):38‑45. (In Russ.)
https://doi.org/10.17116/oftalma202514105138

Подписка 2026 Вестник офтальмологии (Russian Annals of Ophthalmology)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Component analysis of regular astigmatism (AS) involves determining the contribution of the cornea and the lens to the development of this type of ametropia. Most research in this area focuses on assessing corneal asphericity, while issues related to the lenticular AS remain less studied.

OBJECTIVE

This study evaluated the influence of the lenticular component on the formation of regular total AS in older patients.

MATERIAL AND METHODS

The potential impact of lenticular AS on total AS was assessed by analyzing the changes in parameters (magnitude and orientation of one of the principal meridians) after phacoemulsification with implantation of a monofocal intraocular lens (IOL). The study included 35 patients (41 eyes) aged 60—72 years. Preoperative AS ranged from 0.75 to 2.75 D.

RESULTS

No significant changes in magnitude or orientation of one of the principal meridians of total AS were found postoperatively (p=0.737 and p=0.965, respectively). Analysis of potential differences between total and corneal AS after surgery showed the following: in 13 cases (31.7%) values were identical, in 14 (34.2%) they differed by 0.25 D, in 5 (12.1%) — by 0.5 D, in 4 (9.8%) — by 0.75 D, and only in 5 cases (12.1%) the difference exceeded 1 D. Greater variability was noted in the orientation of one of the principal meridians: no cases had results coincide, and differences of 0—10°, 11—20°, 21—30°, and >30° occurred in 19 (46.4%), 13 (31.7%), 6 (14.6%), and 3 (7.3%) cases, respectively.

CONCLUSION

The clinical model of pseudophakia after implantation of a monofocal IOL can be considered as a method for eliminating the impact of the lenticular component on total (clinical) AS. The need to refine keratometry data using subjective tests when determining the axis for toric IOL implantation remains due to the identified significant postoperative discrepancies in the orientation of one of the principal meridians of corneal and total AS.

Keywords:

regular astigmatism
total astigmatism
corneal astigmatism
lenticular astigmatism
phacoemulsification

Authors:

Avetisov S.E.

Krasnov Research Institute of Eye Disease;
I.M. Sechenov First Moscow State Medical University (Sechenov University)

Yevdokimova A.N.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Voronin G.V.

Krasnov Research Institute of Eye Diseases;
I.M. Sechenov First Moscow State Medical University (Sechenov University)

Avetisov K.S.

Krasnov Research Institute of Eye Disease

Shkolyarenko N.Yu.

Krasnov Research Institute of Eye Diseases

Borisenko T.E.

Krasnov Research Institute of Eye Diseases

Received:

31.05.2025

Accepted:

17.06.2025

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References:

  1. Avetisov SE, Evdokimova AN. On the issue of diagnostic accuracy of methods for analyzing the parameters of regular astigmatism. Russian Annals of Ophthalmology. 2024;140(4):26-32. (In Russ.). https://doi.org/10.17116/oftalma202414004126
  2. Radzikhovsky BL. Astigmatism chelovecheskogo glaza. M.: Meditsina; 1969. (In Russ.).
  3. Ueno Y, Hiraoka T, Beheregaray S, Miyazaki M, Ito M, Oshika T. Age-related changes in anterior, posterior, and total corneal astigmatism. Journal of Refractive Surgery. 2014;30(3):192-197.  https://doi.org/10.3928/1081597X-20140218-01
  4. Navarro R, Rozema JJ, Tassignon MJ. Optical changes of the human cornea as a function of age. Optometry and Vision Science. 2013;90(6):587-598.  https://doi.org/10.1097/OPX.0b013e3182928bc6
  5. Navarro R, Rozema JJ, Tassignon MJ. Orientation changes of the main corneal axes as a function of age. Optometry and Vision Science. 2013;90(1):23-30.  https://doi.org/10.1097/OPX.0b013e3182780f88
  6. Muzyka-Woźniak M, Oleszko A, Grzybowski A. Measurements of Anterior and Posterior Corneal Curvatures with OCT and Scheimpflug Biometers in Patients with Low Total Corneal Astigmatism. Journal of Clinical Medicine. 2022;11(23):6921. https://doi.org/10.3390/jcm11236921
  7. Shao X, Zhou KJ, Pan AP, Cheng XY, Cai HX, Huang JH, Yu AY. Age-Related Changes in Corneal Astigmatism. Journal of Refractive Surgery. 2017; 33(10):696-703.  https://doi.org/10.3928/1081597X-20170718-04
  8. Savini G, Versaci F, Vestri G, Ducoli P, Næser K. Influence of posterior corneal astigmatism on total corneal astigmatism in eyes with moderate to high astigmatism. Journal of Cataract & Refractive Surgery. 2014;40(10):1645-1653. https://doi.org/10.1016/j.jcrs.2014.01.046
  9. Leighton DA, Tomlinson A. Changes in axial length and other dimensions of the eyeball with increasing age. Acta Ophthalmologica. 1972;50(6):815-826.  https://doi.org/10.1111/j.1755-3768.1972.tb06621.x
  10. Daxer A, Misof K, Grabner B, Ettl A, Fratzl P. Collagen fibrils in the human corneal stroma: structure and aging. Investigative Ophthalmology & Visual Science. 1998;39(3):644-648. 
  11. Faragher RG, Mulholland B, Tuft SJ, Sandeman S, Khaw PT. Aging and the cornea. British Journal of Ophthalmology. 1997;81(10):814-817.  https://doi.org/10.1136/bjo.81.10.814
  12. Goss DA. Meridional analysis of with-the-rule astigmatism in Oklahoma Indians. Optometry and Vision Science. 1989;66(5):281-287.  https://doi.org/10.1097/00006324-198905000-00005
  13. Liu M, Dai C, Zhou G, Lv X, Li J, Li B. Delicate balance: the relationship between internal astigmatism and lens astigmatism. F1000Research. 2021; 10:527.  https://doi.org/10.12688/f1000research.54045.2
  14. Birkenfeld J, de Castro A, Marcos S. Astigmatism of the Ex Vivo Human Lens: Surface and Gradient Refractive Index Age-Dependent Contributions. Investigative Ophthalmology & Visual Science. 2015;56(9):5067-5073. https://doi.org/10.1167/iovs.15-16484
  15. Pérez-Merino P, Velasco-Ocana M, Martinez-Enriquez E, Marcos S. OCT-based crystalline lens topography in accommodating eyes. Biomedical Optics Express. 2015;6(12):5039-5054. https://doi.org/10.1364/BOE.6.005039
  16. Birkenfeld J, de Castro A, Ortiz S, Pascual D, Marcos S. Contribution of the gradient refractive index and shape to the crystalline lens spherical aberration and astigmatism. Vision Research. 2013;86:27-34.  https://doi.org/10.1016/j.visres.2013.04.004
  17. Pesudovs K, Elliott DB. Refractive error changes in cortical, nuclear, and posterior subcapsular cataracts. British Journal of Ophthalmology. 2003;87(8): 964-967.  https://doi.org/10.1136/bjo.87.8.964
  18. Liu Y, Cheng Y, Zhang Y, Zhang L, Zhao M, Wang K. Evaluating internal and ocular residual astigmatism in Chinese myopic children. Japanese Journal of Ophthalmology. 2017;61(6):494-504.  https://doi.org/10.1007/s10384-017-0532-y
  19. Rozema JJ, Hershko S, Tassignon MJ; for EVICR.net, Project Gullstrand Study Group. The components of adult astigmatism and their age-related changes. Ophthalmic and Physiological Optics. 2019;39(3):183-193.  https://doi.org/10.1111/opo.12616
  20. Sayed KM. Analysis of components of total astigmatism in infants and young children. International Ophthalmology. 2017;37(1):125-129.  https://doi.org/10.1007/s10792-016-0244-1
  21. Limaiem R, Baba A, Bouraoui R, Mghaieth F, El Matri L. Astigmatisme interne et lésionsoculairesassociées [Internal astigmatism with other ocular lesions]. Journal Français d’Ophtalmologie. 2012;35(4):277-283. (In French). https://doi.org/10.1016/j.jfo.2011.09.011
  22. Wu L, Weng C, Xia F, Wang X, Zhou X. Internal Astigmatism and Its Role in the Growth of Axial Length in School-Age Children. Journal of Ophthalmology. 2018;2018:1686045. https://doi.org/10.1155/2018/1686045
  23. Liu T, Thibos LN. Compensation of corneal oblique astigmatism by internal optics: a theoretical analysis. Ophthalmic and Physiological Optics. 2017;37(3):305-316.  https://doi.org/10.1111/opo.12364
  24. Sharifi A, Sharifi L, Morteza A. Comparison of the keratometric corneal astigmatism and refractive astigmatism after phacoemulsification and foldable intraocular lens implantation. International Ophthalmology. 2012;32(5): 431-434.  https://doi.org/10.1007/s10792-012-9591-8
  25. Alpins NA. A new method of analyzing vectors for changes in astigmatism. Journal of Cataract & Refractive Surgery. 1993;19(4):524-533.  https://doi.org/10.1016/s0886-3350(13)80617-7
  26. Liu YC, Chou P, Wojciechowski R, Lin PY, Liu CJ, Chen SJ, Liu JH, Hsu WM, Cheng CY. Power vector analysis of refractive, corneal, and internal astigmatism in an elderly Chinese population: the Shihpai Eye Study. Investigative Ophthalmology & Visual Science. 2011;52(13):9651-9657. https://doi.org/10.1167/iovs.11-7641
  27. Avetisov SE, Voronin GV, Yevdokimova AN, Avetisov KS, Shkolyarenko NYu, Yusef SN. The impact of the position of toric intraocular lenses on the functional outcomes of phaco surgery. Russian Annals of Ophthalmology. 2022; 138(5-2):273-278. (In Russ.). https://doi.org/10.17116/oftalma2022138052273
  28. Ma JJK, Tseng SS. Simple method for accurate alignment in toric phakic and aphakic intraocular lens implantation. Journal of Cataract and Refractive Surgery. 2008;34(10):1631-1636. https://doi.org/10.1016/j.jcrs.2008.04.041
  29. Eom Y, Rhim JW, Kang S-Y, Kim S-W, Song JS, Kim HM. Toric Intraocular Lens Calculations Using Ratio of Anterior to Posterior Corneal Cylinder Power. American Journal of Ophthalmology. 2015;160(4):717-724.e2.  https://doi.org/10.1016/j.ajo.2015.07.011
  30. Novis C. Astigmatism and toric intraocular lenses. Current Opinion in Ophthalmology. 2000;11(1):47-50.  https://doi.org/10.1097/00055735-200002000-00007
  31. Potvin R, Kramer BA, Hardten DR, Berdahl JP. Toric intraocular lens orientation and residual refractive astigmatism: an analysis. Clinical Ophthalmology. 2016;10:1829-1836. https://doi.org/10.2147/OPTH.S114118
  32. Hirnschall N, Hoffmann PC, Draschl P, Maedel S, Findl O. Evaluation of Factors Influencing the Remaining Astigmatism After Toric Intraocular Lens Implantation. Journal of Refractive Surgery. 2014;30(6):394-400.  https://doi.org/10.3928/1081597X-20140429-01
  33. Tognetto D, Perrotta AA, Bauci F, Rinaldi S, Antonuccio M, Pellegrino FA, Fenu G, Stamatelatos G, Alpins N. Quality of images with toric intraocular lenses. Journal of Cataract and Refractive Surgery. 2018;44(3):376-381.  https://doi.org/10.1016/j.jcrs.2017.10.053
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