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Journal articles on the topic 'Corneal Relaxing Incision (CRI)'

Author: Grafiati

Published: 3 June 2025

Last updated: 31 July 2025

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1

Liu, Shengtao, Xuejun Wang, Xun Chen, Xiaoying Wang, Jing Zhao, and Xingtao Zhou. "Efficacy Comparison Between Toric Posterior Chamber Phakic IOL and Posterior Chamber Phakic IOL Plus Modified Steep Meridian Corneal Relaxing Incision for Moderate to High Astigmatism Corrections." Journal of Refractive Surgery 39, no. 8 (2023): 539–45. http://dx.doi.org/10.3928/1081597x-20230717-04.

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Purpose: To compare posterior chamber phakic intraocular lens (Implantable Collamer Lens [STAAR Surgical]) (ICL) plus modified steep meridian corneal relaxing incision (MS-CRI) to toric posterior chamber phakic intraocular lens (Toric Implantable Collamer Lens [STAAR Surgical]) (TICL) implantation for the correction of moderate to high astigmatism. Methods: In this prospective, randomized clinical trial, patients with myopia who had moderate to high astigmatism (200 eyes) were enrolled and divided into TICL (n = 100) and MSCRI (n = 100) groups. All patients underwent examinations for uncorrect

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2

Koenig, Steven B., Robert W. Snyder, and Robert A. Hyndiuk. "Guarded Scalpel for Corneal Relaxing Incision." Cornea 8, no. 2 (1989): 155. http://dx.doi.org/10.1097/00003226-198906000-00014.

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3

Shen, Ye, Jian-ping Tong, and Yu-min Li. "Corneal relaxing incision combined with phacoemulsification and IOL implantation." Journal of Zhejiang University SCIENCE 5, no. 8 (2004): 985–88. http://dx.doi.org/10.1631/jzus.2004.0985.

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4

Ye, Shen, Tong Jian-ping, and Li Yu-min. "Corneal relaxing incision combined with phacoemulsification and IOL implantation." Journal of Zhejiang University-SCIENCE A 5, no. 8 (2004): 985–88. http://dx.doi.org/10.1631/bf02947611.

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5

Kim, Dong Hyun, Won Ryang Wee, Jin Hak Lee, and Mee Kum Kim. "The Short Term Effects of a Single Limbal Relaxing Incision Combined with Clear Corneal Incision." Korean Journal of Ophthalmology 24, no. 2 (2010): 78. http://dx.doi.org/10.3341/kjo.2010.24.2.78.

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6

A., Herdyanto,, Sagara, F., Widatama, I.M.S., and Wulandari, R. "Refractive Outcomes Comparison in Limbal Relaxing Incision Based on Incision Depth in Managing Corneal Astigmatism During Cataract Surgery." International Journal of Social Health 3, no. 6 (2024): 322–27. http://dx.doi.org/10.58860/ijsh.v3i06.198.

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Introduction: Prevalence of clinically significant astigmatism of more than 1D can be found in 20 to 50% of the population who undergo cataract surgery. During phacoemulsification surgery, astigmatism could be corrected by a toric intraocular lens (IOL) or incisional technique such as a limbal relaxing incision (LRI). LRI are safe and inexpensive procedures thus resulting in satisfying outcomes with the surgeon’s precise phacoemulsification incision and accurate LRI arc position, which most appropriate treatment choice for surgeons in rural areas that have problematic access to IOL supply. Obj

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7

Yin, Xiao-Lei, Xiu-Xin Li, Xue-Mei Liang, and Shu-Xing Ji. "Surgical approaches to correct corneal astigmatism at time of cataract surgery: a mini-review." International Journal of Ophthalmology 17, no. 7 (2024): 1370–74. http://dx.doi.org/10.18240/ijo.2024.07.23.

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Among refractive errors, astigmatism is the most common optical aberration, where refraction changes in different meridians of the eye. It causes blurred vision at any distance and includes corneal, lenticular, and retinal astigmatism. Cataract surgery used to cause a progressive increase in the pre-exisiting corneal astigmatism because of creating a surgically induced astigmatism, for example, a large size surgery incision. The development of surgical techniques during last decades has made cataract surgery interchange to treat preoperative corneal astigmatism at time of surgery. Nowadays, th

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8

Moon, Sang-Woong, Dong-Ju Yeom, and So-Hyang Chung. "Neurotrophic Corneal Ulcer Development Following Cataract Surgery with a Limbal Relaxing Incision." Korean Journal of Ophthalmology 25, no. 3 (2011): 210. http://dx.doi.org/10.3341/kjo.2011.25.3.210.

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9

Kapur, Neha, Charul Jain, Umang Mathur, and Virender Singh Sangwan. "Relaxing descemetotomy with compression sutures for management of acute hydrops in post-LASIK ectasia." BMJ Case Reports 18, no. 6 (2025): e263473. https://doi.org/10.1136/bcr-2024-263473.

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A woman in her 40s having post-laser-assisted in situ keratomileusis (LASIK) ectasia in both eyes developed acute hydrops in her right eye 19 years after LASIK. Anterior segment optical coherence tomography (ASOCT) did not reveal any Descemet’s membrane break, which is usually present in acute hydrops. Corneal oedema was not resolved with conservative management, so descemetopexy with perfluoropropane (C3F8) gas was performed. Despite the descemetopexy with C3F8 gas, worsening of the corneal oedema was noted. In view of the non-resolving acute hydrops even after conventional treatment, a relax

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10

Alastrué, V., B. Calvo, E. Peña, and M. Doblaré. "Biomechanical Modeling of Refractive Corneal Surgery." Journal of Biomechanical Engineering 128, no. 1 (2005): 150–60. http://dx.doi.org/10.1115/1.2132368.

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The aim of refractive corneal surgery is to modify the curvature of the cornea to improve its dioptric properties. With that goal, the surgeon has to define the appropriate values of the surgical parameters in order to get the best clinical results, i.e., laser and geometric parameters such as depth and location of the incision, for each specific patient. A biomechanical study before surgery is therefore very convenient to assess quantitatively the effect of each parameter on the optical outcome. A mechanical model of the human cornea is here proposed and implemented under a finite element con

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11

Edmonds, Charles R., Jeffrey I. Katz, and Marla J. Husz. "Corneal relaxing incision to aid contact lens fitting for post-penetrating keratoplasty patients." International Contact Lens Clinic 24, no. 1 (1997): 29–31. http://dx.doi.org/10.1016/s0892-8967(96)00127-7.

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12

A, Cywinski, and Bloch D. "Limbal Relaxing Incisions in the Correction of Postoperative Astigmatism, in Eyes after Implantation of Various Types of Multifocal Spherical Lenses. Own Results." Open Access Journal of Ophthalmology 9, no. 2 (2024): 1–10. https://doi.org/10.23880/oajo-16000320.

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34 patients (34 eyes) who had previously undergone implantation of a multifocal spherical lens were treated for corneal astigmatism. In each case a Limbal Relaxing Incision was performed. Examinations using corneal topography showed the presence of astigmatism with an average value of 1.36 at the range of 0,63 to 2,61 dioptries. Only one patient had a corneal astigmatism value higher than 1.38 diopters. Patients, who complained of unacceptable, postoperative quality of vision and who did not achieve full distance visual acuity were qualified for the procedure. A reduction in the size of the as

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13

Fang, Zhi, and Wei Han. "Small incision lenticule extraction and femtosecond-assisted laser in situ keratomileusis in patients with deep corneal opacity: case series." International Journal of Ophthalmology 16, no. 2 (2023): 301–8. http://dx.doi.org/10.18240/ijo.2023.02.19.

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AIM: To report the safety, efficacy, and accuracy of small-incision lenticule extraction (SMILE) or femtosecond-assisted laser in situ keratomileusis (FS-LASIK) for the correction of myopia or myopic astigmatism in patients with deep corneal opacity denoted by anterior segment optical coherence tomography (AS-OCT). METHODS: Four patients with monocular corneal opacity (3 due to mechanical injury, 1 due to a firecracker wound) were recruited and treated with refractive surgery (3 for SMILE, 1 for FS-LASIK combined with limbal relaxing incision (LRI). Preoperative ocular manifestations, surgical

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14

Lee, Yong Woo, Kyu Seong Cho, Joon Young Hyon, and Sang Beom Han. "Application of Femtosecond Laser in Challenging Cataract Cases." Asia-Pacific Journal of Ophthalmology 12, no. 5 (2023): 477–85. http://dx.doi.org/10.1097/apo.0000000000000627.

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Femtosecond laser can provide precise and customized incision of ocular tissue with excellent accuracy and predictability. Thus, femtosecond laser–assisted cataract surgery (FLACS) can theoretically enhance the safety and efficacy of cataract surgery by providing reproducible and reliable clear corneal incision, limbal relaxing incision, anterior capsulotomy, and lens fragmentation. However, thus far, the superiority of the anatomical and visual outcomes of FLACS over those of conventional cataract surgery have been unclear. Nevertheless, studies have indicated that FLACS can potentially be he

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15

Ariffin, Annisa Ikhsaniah, Muhammad Abrar Ismail, and Hasnah Eka. "Single and dual limbal relaxing incisions in correcting corneal astigmatism during cataract surgery." Bali Medical Journal 13, no. 1 (2023): 235–40. http://dx.doi.org/10.15562/bmj.v13i1.4915.

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Introduction: Correcting astigmatism during cataract surgery to achieve optimal visual outcomes is important. Various techniques, such as limbal relaxing incisions (LRIs), are used to correct astigmatism. LRIs are effective for mild to moderate astigmatism but have limitations in correcting larger astigmatism. This study aimed to review the effectiveness of single and dual LRI in correcting astigmatism during cataract surgery. Methods: This literature review utilized databases from 2010 until 2022. The keywords “corneal astigmatism”, “limbal relaxing incision”, and “cataract surgery” were used

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16

Andrew, Nicholas H., and Malak Habib. "Surgical technique to prevent malposition of the Hydrus glaucoma microstent (The “gap sign”)." Indian Journal of Ophthalmology 73, Suppl 3 (2025): S515—S516. https://doi.org/10.4103/ijo.ijo_2649_24.

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The key challenge of implanting the hydrus glaucoma microstent is avoiding the tip from exiting Schlemm’s canal and diving posteriorly toward the iris root. Here, we propose a novel theory as to why the hydrus stent tends to dive posteriorly and we describe surgical steps to prevent this from occurring. These steps include making a corneal incision oriented tangential to the angle, having a flat angle of attack to Schlemm’s canal, and relaxing the hand before advancing the stent. Observing a gap between the stent and the back wall of the hydrus injector (“gap sign”) indicates that the stent is

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17

Ali, Jamshed, Mariyam Khan, Salal Khan, Sunil Kumar Gupta, Ali Saeed, and Kamal Pant. "Keratometric changes in a population-based study: a comparative analysis of pre- and post-cataract surgery outcomes." International Journal Of Community Medicine And Public Health 12, no. 6 (2025): 2661–66. https://doi.org/10.18203/2394-6040.ijcmph20251709.

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Background: This study aims to evaluate the distribution of keratometry in cataract patients to know the variation in pre and post of small incision cataract surgery (SICS). To determine the variation in pre and post of small incision cataract surgery (SICS) using Bausch and Lomb keratometry instrument. Methods: This is a cross sectional study, undertaken at secondary centre of Dr. Shroff’s Charity eye hospital Mohammadi. Two hundred patients will be selected for keratometry in pre and post of SICS. Small incision cataract surgery (SICS) will be done with straight incision with back cut techni

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18

Gibbons, Allister. "Use of a Toric Intraocular Lens and a Limbal-Relaxing Incision for the Management of Astigmatism in Combined Glaucoma and Cataract Surgery." Case Reports in Ophthalmology 7, no. 1 (2016): 96–102. http://dx.doi.org/10.1159/000444213.

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Purpose: We report the surgical management of a patient with glaucoma undergoing cataract surgery with high preexisting astigmatism. A combination of techniques was employed for her astigmatism management. Methods: A 76-year-old female with 5.5 dpt of corneal astigmatism underwent surgery in her left eye consisting of one-site trabeculectomy, phacoemulsification, toric intraocular lens implantation and a single inferior limbal-relaxing incision. Results: Intraocular pressure control was achieved with no medication at 11 mm Hg; before the filtering procedure, the pressure was 16 mm Hg on two to

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19

Fouda, Sameh, Kazutaka Kamiya, Daisuke Aizawa, and Kimiya Shimizu. "Limbal relaxing incision during cataract extraction versus photoastigmatic keratectomy after cataract extraction in controlling pre-existing corneal astigmatism." Graefe's Archive for Clinical and Experimental Ophthalmology 248, no. 7 (2010): 1029–35. http://dx.doi.org/10.1007/s00417-009-1272-6.

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20

Zhu, Miaomiao, Jilin Tan, Zhongxiu Zhao, Xialu Liu, and Yanli Peng. "Preliminary Clinical Study of a LenSx Femtosecond Laser-Assisted Limbal Relaxing Incision for the Correction of High Myopia with Low to Moderate Astigmatism in Posterior Implantable Collamer Lens Implantation." Journal of Ophthalmology 2020 (December 29, 2020): 1–11. http://dx.doi.org/10.1155/2020/8884497.

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Purpose. To evaluate the safety, efficacy, and predictability of implantable collamer lens (ICL) implantation combined with a LenSx femtosecond laser-assisted limbal relaxing incision (LRI) for the correction of corneal astigmatism. Methods. This prospective study enrolled 64 eyes (54 patients) with high myopia with low to moderate regular corneal astigmatism. They were divided into an ICL group with ICL implantation (18 patients, 20 eyes), a TICL group with toric ICL implantation (17 patients, 23 eyes), and a LenSx + ICL group with a LenSx femtosecond laser-assisted LRI and an ICL implantatio

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21

Sahare, Harshal D. "Study of visual and refractive outcomes in patients undergoing limbal relaxing incision during clear corneal phacoemulsification surgery with foldable intra ocular lens." MedPulse International Journal of Ophthalmology 20, no. 2 (2021): 92–24. http://dx.doi.org/10.26611/10092021.

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22

Gupta, Sanyogita, and Bharat Deep Srivastav. "APPROACH TO CORRECT CORNEAL ASTIGMATISM DURING CATARACT SURGERY: A CONCISE REVIEW." INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH, April 1, 2025, 10–11. https://doi.org/10.36106/ijsr/2806438.

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Astigmatism, a common refractive error, arises from uneven refraction in different meridians of the eye, leading to blurred vision. It is classified into corneal, lenticular, and retinal types, with corneal astigmatism being most prevalent. Cataract surgery can exacerbate pre-existing corneal astigmatism due to surgically induced astigmatism (SIA), but surgical techniques can also be employed to correct it during the procedure. These include clear corneal incisions (CCI), peripheral corneal relaxing incisions (PCRIs), and toric intraocular lens (IOL) implantation. SIA is influenced by incision

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23

Alshaarawy, AM, Saif MY Sayed, MH Ahmed, AA Zaki, and MA Terry. "A Comparison Of Topographic and Refractive Effects from Arcuate Incisions in Keratoplasty: Deep Anterior Lamellar Vs. Penetrating." June 12, 2017. https://doi.org/10.19070/2332-290X-1700066.

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<strong>Purpose:</strong> To compare the topographic and refractive effects from the arcuate relaxing incisions in treating post-keratoplasty astigmatism after deep anterior lamellar keratoplasty (DALK), penetrating keratoplasty (PKP). Setting: A one center study: Devers Eye Institute, Portland, Oregon, USA. <strong>Design</strong>: Retrospective review of consecutive cases. Methods: The study is divided into two groups: DALK and PKP group. Each group contains 20 eyes with residual astigmatism more than 4 Diopters (D) 3 months after full suture removal. Subjects underwent arcuate relaxing inci

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24

Alexander Herdyanto. "REFRACTIVE OUTCOMES COMPARISON IN LIMBAL RELAXING INCISION BASED ON INCISION DEPTH IN MANAGING CORNEAL ASTIGMATISM DURING CATARACT SURGERY." Ophthalmologica Indonesiana 49, S2 (2024). http://dx.doi.org/10.35749/ebawbr98.

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Abstract Introduction & Objectives : Introduction: Prevalence of clinically significant astigmatism of more than 1D can be found in 20 to 50% population those undergo cataract surgery. During phacoemulsification surgery, astigmatism could be corrected by toric intraocular lens (IOL) or incisional technique such as limbal relaxing incision (LRI). LRI are safe and inexpensive procedures thus results in satisfying outcomes with surgeon’s precise phacoemulsification incision and accurate LRI arc position, which most appropriate treatment choice for surgeons in rural area that has problem

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25

González-Cruces, Timoteo, Antonio Cano-Ortiz, Alberto Villarrubia, María Carmen Sánchez-González, and Jose María Sánchez-González. "Comparison of wound architecture in implantable collamer lens surgery: Self-sealing single-plane opposite clear corneal incision versus main surgical incision." European Journal of Ophthalmology, August 28, 2022, 112067212211214. http://dx.doi.org/10.1177/11206721221121439.

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Purpose Incision architecture can play an important role in corneal astigmatism management through peripheral corneal relaxing incisions. The aim of this study was to compare the incision architecture of single-plane opposite clear corneal incisions (OCCIs) and main surgical incisions (MSIs) in patients undergoing implantable collamer lens (ICL) surgery. Methods A retrospective cross-sectional tomographic analysis of MSI and OCCI architectures was performed 6 months after ICL surgery. Image acquisition was performed using spectral-domain anterior segment optical coherence tomography. Results A

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26

Anderson, Sarah. "How does a toric intraocular lens (IOL) compare with a limbal relaxing incision (LRI) for people with corneal astigmatism after phacoemulsification?" Cochrane Clinical Answers, April 27, 2020. http://dx.doi.org/10.1002/cca.2948.

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27

Özsoy Koyun, Işılay, Hacı Uğur Çelik, Hüseyin Bayramlar, and Efe Koyun. "Comparision of toric intraocular lens implantation, limbal relaxing incisions and opposite clear corneal incision for management of co-existing astigmatism on cataract surgery." Medeniyet Medical Journal, 2018. http://dx.doi.org/10.5222/mmj.2018.16362.

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28

Mosca, Luigi, Matteo Mario Carlà, Laura Guccione, et al. "Topographical and functional analysis of different surgical strategies for advanced pellucid marginal degeneration: A long term follow-up." European Journal of Ophthalmology, November 13, 2024. http://dx.doi.org/10.1177/11206721241297324.

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Purpose To compare clinical and topographical outcomes of three different surgical strategies for advanced pellucid marginal degeneration (PMD). Methods Retrospective, interventional case series of 8 advanced PMDs undergoing three different surgical interventions: Sliding Keratoplasty (SK), Sliding Keratoplasty with Relaxing Incision (SKRI), Sector Lamellar Keratoplasty (SLK). Pre-operatively and at 1, 3, 6, 12-month and final follow-up (50.8 ± 20.6 months) post-operatively, we collected: uncorrected and corrected distance visual acuity (UDVA and CDVA), spherical equivalent (SE), refractive as

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