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Higher eccentricity of the maximum posterior elevation showed a significant beneficial influence on the efficacy index (p = 0.021). Furthermore, a higher Amsler-Krumeich stage and preoperative MAE were correlated with a worse UDVA . The mean absolute spherical equivalent was significantly decreased from 5.71 ± 4.96 D to 1.25 ± 1.20 D (p 0.001). No significant difference was found in endothelial cell count. The results indicate that the implantation of phakic iris-fixated anterior chamber IOLs is a reasonable refractive option for pa
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