A systematic review of 74 optical studies shows that tolerance to decentration depends on IOL design, especially for aspheric and presbyopia-correcting optics.
doi: 10.1097/j.jcrs.0000000000001950In 72 eyes, decentration was similar, but iris-claw IOLs had less tilt and greater postsaccadic oscillation than flanged scleral-fixated lenses.
doi: 10.1097/j.jcrs.0000000000001975In a 120-eye trial, the 13×11 mm ring better stabilized the IOL and more often achieved posterior capsule contact, but study power was only 61%.
doi: 10.3928/1081597X-20251125-05