Postoperative Care Time After Implantation of Light Adjustable Versus Monofocal Intraocular Lens.

IF 2.9 3区医学 Q1 OPHTHALMOLOGY

Journal of refractive surgery Pub Date : 2026-06-01 DOI:10.3928/1081597X-20260408-02

Salomon Merikansky, Lily Zhang, Kendall E Donaldson

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引用次数: 0

Abstract

Purpose: To quantify postoperative clinical time and workload required for bilateral Light Adjustable Lens (RxSight) (LAL) implantation compared with bilateral monofocal intraocular lenses (IOLs).

Methods: In this retrospective comparative study, records of 60 patients who underwent bilateral cataract surgery by a single surgeon at the Bascom Palmer Eye Institute were reviewed (30 LALs, 30 monofocal IOLs). Total postoperative clinical time, number of visits, mean visit duration, and visual outcomes were analyzed over a 90-day period. LAL-specific outcomes included the number of light treatments and uncorrected visual acuity stratified by ocular dominance.

Results: The LAL group required significantly greater total clinic time (14:23 ± 4:36 vs 8:14 ± 2:12 hours; P < .0001), more visits (9 ± 1.37 vs 6 ± 0.48; P < .0001), and longer average visit duration (2:18 ± 0:55 vs 1:35 ± 0:54 minutes; P < .0001) compared with the monofocal group. Despite similar corrected distance visual acuity, the LAL group achieved high rates of spectacle independence through customized refractive targeting.

Conclusions: Bilateral LAL implantation substantially increases postoperative visit burden and chair time relative to monofocal IOLs. These findings underscore the importance of preoperative counseling and scheduling considerations when offering customizable LAL technologies.

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可调光人工晶状体与单焦点人工晶状体植入术后护理时间。

目的：量化双侧光可调晶状体（RxSight）（LAL）植入术与双侧单焦点人工晶状体（iol）植入术术后所需的临床时间和工作量。方法：在本回顾性比较研究中，回顾了在巴斯科姆帕尔默眼科研究所接受单一外科医生双侧白内障手术的60例患者的记录（30例lal， 30例单焦点iol）。术后总临床时间、就诊次数、平均就诊时间和视力结果在90天内进行分析。lal特异性结果包括光治疗次数和按眼优势分层的未矫正视力。结果：与单焦点组相比，LAL组需要更长的临床总时间（14:23±4:36 vs 8:14±2:12小时，P < 0.0001），更多的就诊次数（9±1.37 vs 6±0.48,P < 0.0001），更长的平均就诊时间（2:18±0:55 vs 1:35±0:54分钟，P < 0.0001）。尽管矫正距离视力相似，LAL组通过定制屈光定位实现了高的眼镜独立性。结论：双侧人工晶状体植入术与单焦点人工晶状体相比，显著增加了术后就诊负担和坐椅时间。这些发现强调了在提供可定制LAL技术时术前咨询和计划考虑的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

$Journal of refractive surgery$

Journal of refractive surgery 医学-外科

CiteScore

5.10

自引率

12.50%

发文量

160

审稿时长

4-8 weeks

期刊介绍： The Journal of Refractive Surgery, the official journal of the International Society of Refractive Surgery, a partner of the American Academy of Ophthalmology, has been a monthly peer-reviewed forum for original research, review, and evaluation of refractive and lens-based surgical procedures for more than 30 years. Practical, clinically valuable articles provide readers with the most up-to-date information regarding advances in the field of refractive surgery. Begin to explore the Journal and all of its great benefits such as: • Columns including “Translational Science,” “Surgical Techniques,” and “Biomechanics” • Supplemental videos and materials available for many articles • Access to current articles, as well as several years of archived content • Articles posted online just 2 months after acceptance.