Journal of cataract and refractive surgery最新文献

{"title":"Six-month Performance and Safety of an Iris-Fixated Multifocal Intraocular Lens for Presbyopia Correction in Phakic Eyes.","authors":"Joukje C Wanten, Julián Cezón, Rudy M M A Nuijts, Juan A Duran de la Colina, Mariano Royo, Chul Myong Choe, Jae Ho Choi, Chan Soo Park, Il Hwan Koh, Daniel Casado Rodríguez, Noël Jc Bauer, José L Güell","doi":"10.1097/j.jcrs.0000000000001722","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001722","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the six-month effectiveness and safety of a novel foldable multifocal iris-fixated phakic IOL (pIOL) for presbyopia correction.</p><p><strong>Setting: </strong>Multicenter study at 7 sites.</p><p><strong>Design: </strong>Nonrandomized prospective clinical trial.</p><p><strong>Methods: </strong>Presbyopic patients without cataracts undergoing bilateral multifocal pIOL implantation (Ophtec ArtiPlus) were studied. The primary outcome for efficacy was the visual acuity at distance, intermediate, and near. Secondary outcomes included endothelial cell density (ECD), postoperative refraction, binocular defocus curve, vision quality, spectacle independence, and patient satisfaction.</p><p><strong>Results: </strong>A total of 49 subjects (98 eyes) were included. At six months, the mean binocular uncorrected distance intermediate, and near visual acuity were -0.05±0.09, -0.02±0.07, and 0.02±0.08 logMAR, respectively. The ECD remained stable with a mean value of 2771±289 cells/mm2 at six months postoperatively. The mean spherical equivalent was -0.42±0.33 diopters (D), with 95% eyes having a prediction error within ±1.0D and 77% within ±0.5D. The binocular distance-corrected defocus curve showed a visual acuity of 0.20 logMAR or better over a range of +1.0D to -3.5D. Patient satisfaction was high, with a mean score of 3.5 on a 4-point scale, and 83% of the patients reported spectacle independence. 47%, 35%, and 96% of patients reported experiencing glare, halos, and starbursts at well-tolerated levels, respectively. Notably, only 2% of patients found halos and starbursts to be very bothersome.</p><p><strong>Conclusion: </strong>Bilateral ArtiPlus multifocal pIOL implantation demonstrated good visual acuity from distant to near and maintained stable ECD over six months. Patients reported high levels of satisfaction and spectacle independence, despite some optical disturbances.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Data Registry Comparing Outcomes of Two Light Adjustable Lenses.","authors":"John Doane, T Hunter Newsom, Stephen Slade, Vance Thompson, Nicholas Bruns, John Vukich","doi":"10.1097/j.jcrs.0000000000001721","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001721","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the clinical performance of the light adjustable lenses (LAL) to the LAL+ with an increased central power to have broader depth of focus.</p><p><strong>Setting: </strong>Private practice clinics.</p><p><strong>Design: </strong>Prospective, non-randomized, non-masked, multi-center.</p><p><strong>Methods: </strong>Clinical data collection registry of patients bilaterally implanted with the LAL or LAL+ (RxSight, Inc.). Outcome measures included subjective manifest refraction; monocular best corrected distance, intermediate and near visual acuity; binocular uncorrected distance, intermediate, and near visual acuity; and binocular uncorrected best focus visual acuity at differing contrast levels.</p><p><strong>Results: </strong>91.1% and 93.5% of LAL and LAL+ eyes had an MRSE within 0.50 D of target, respectively. 92.0% and 89.0% of LAL and LAL+ patients had a binocular uncorrected distance visual acuity (UCDVA) of 20/20 or better after adjustment, respectively. 86.0% and 93.0% of LAL and LAL+ patients had binocular uncorrected best focus visual acuity of J1 or better at 100% contrast, respectively. Distance corrected intermediate and near visual acuity was better with the LAL+ compared to the LAL, consistent with its further broadened depth of focus. Best corrected distance vision was only slightly reduced for LAL+ (1 letter), with both lenses achieving high levels.</p><p><strong>Conclusions: </strong>Both the LAL and LAL+ achieved excellent refractive and binocular visual outcomes at distance, intermediate and near. The broadened depth of focus of the LAL+ was clinically evident and led to less anisometropia. The ability of patients to binocularly select and adjust their refraction according to their visual goal is a unique therapeutic approach to cataract refractive patients.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Cannula Dislocation During Cataract Surgery: a survey.","authors":"Amar Alwitry","doi":"10.1097/j.jcrs.0000000000001724","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001724","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the prevalence of cannula dislocation during cataract.</p><p><strong>Method: </strong>A survey was carried out online via a link sent to members of the UKISCRS, ESCRS and readership of Eye News®.</p><p><strong>Results: </strong>Five hundred and fifty one responses were obtained. 84% of respondents had experienced dislocation of the cannula with 78.04% seeing harm due to this. 50.37% indicated that the last time this occurred there was ocular damage. 22.95% indicated that a cannula dislocation occurred on average once per year, 38.43% experienced it twice per year, 15.66% responded that it occurred 3 times per year, while 6.92% stated that it occurred 4 or more times per year.</p><p><strong>Conclusion: </strong>Cannula dislocation happens not infrequently and ocular harm occurs frequently when this occurs. It is likely that that harm is minimal and therefore the issue is underreported. Further work is required it attempting to prevent avoidable harm from this complication.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Refractive, Visual, and Safety Outcomes of Three Surgical Techniques for Aphakia Correction.","authors":"Liam D Redden, David Hoang, Nitin Rangu, David A Murphy, Kai Ding, Jascha Wendelstein, Kamran M Riaz","doi":"10.1097/j.jcrs.0000000000001723","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001723","url":null,"abstract":"<p><strong>Purpose: </strong>To compare refractive, visual, and safety outcomes of three methods for surgical correction of aphakia: anterior chamber IOL (ACIOL), intrascleral haptic fixation IOL (ISHF-IOL), and Gore-Tex suture fixation of modified eyelet toric IOL (GSF-MET IOL).</p><p><strong>Setting: </strong>Tertiary care academic center.</p><p><strong>Design: </strong>Multi-surgeon retrospective case series.</p><p><strong>Methods: </strong>Review of 357 eyes undergoing one of the above three techniques between 2017 and 2024. Comparative refractive (defocus (spherical equivalent (SE)), astigmatism (refractive cylinder (RefCyl)), and blur (defocus equivalent (DEQ))), visual acuity (corrected distance visual acuity (CDVA)), and safety outcomes (cystoid macular edema (CME) and return to the operating room (ROR) events) were recorded. Due to concerns about IOL tilting with one of the models, a subgroup analysis was performed on two IOL models within the ISHF group. Statistical analyses included descriptive statistics, Chi-Square tests, one-way ANOVA, and two-sample t-testing.</p><p><strong>Results: </strong>All three groups had similar SE (p = 0.87), RefCyl (p = 0.91), and CDVA in eyes without significant comorbidities (p = 0.23). ROR was similar among all groups (p = 0.08). Within the ISHF-IOL group, CT Lucia 602 and Sensar AR40 had similar SE and RefCyl (p = 0.18 and p = 0.15, respectively). CDVA was similar in eyes without significant comorbidities for both IOL models (p = 0.70). ROR was significantly higher with CT Lucia 602 than with Sensar AR40 (p = 0.03).</p><p><strong>Conclusions: </strong>All three surgical techniques can provide good refractive, visual acuity, and safety outcomes. Within the ISHF-IOL group, the Sensar AR40 had lower ROR rates than the CT Lucia 602, with similar CDVA outcomes.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Butterfly Antenna Sign in Traumatic Cataracts.","authors":"Aafreen Bari, Tushar Agarwal, Namrata Sharma","doi":"10.1097/j.jcrs.0000000000001719","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001719","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pyramidal Cataract with Detached Apex.","authors":"Riccardo Genovese, Marco Coassin","doi":"10.1097/j.jcrs.0000000000001720","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001720","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in Patient, Surgeon, and Procedural Characteristics of Intraocular Lens Exchange among Medicare Beneficiaries 2011-2020.","authors":"Jane J Huang, Chen Dun, Hyeck-Soo Son, Martin Makary, Yassine Daoud, Divya Srikumaran, David F Chang, Fasika A Woreta","doi":"10.1097/j.jcrs.0000000000001716","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001716","url":null,"abstract":"<p><strong>Purpose: </strong>To assess trends in prevalence and patient/surgeon characteristics of IOL exchange surgery in the United States and to evaluate the surgical complication rates.</p><p><strong>Setting: </strong>Medicare beneficiaries.</p><p><strong>Design: </strong>Retrospective cross-sectional analysis.</p><p><strong>Methods: </strong>Medicare beneficiaries aged 65 years or older who underwent IOL exchange surgery between 2011-2020 were identified from 100% Medicare fee-for-service carrier claims data. Main exclusion criteria: missing demographic information and incomplete follow-up data. Main outcomes: incidence of IOL exchange, patient- and surgeon-level factors, and postoperative complication rates.</p><p><strong>Results: </strong>52,583 IOL exchanges were performed on 48,967 patients. The annual number of IOL exchanges increased from 4,621 in 2011 to 6,114 in 2019. Most patients were White (n=47,228, 89.8%), resided in urban locations (n=44,095, 84.0%), and had a Charlson comorbidity index of ≤2 (n=41,556, 79.0%). Of 7,493 surgeons, most were male (n=6,308, 84.2%), practiced in urban locations (n=6,907, 92.2%), and had an average of 24.7±11.2 years between medical school graduation and the last surgery they performed during the study period. The most common surgical indications were mechanical lens failure (n=22,252, 51.4%) and lens displacement (n=9,155, 21.1%). The most common complications were epiretinal membrane (n=531, 6.8%), mechanical lens complication (n=460, 5.9%), and dislocation of the replacement IOL (n=385, 4.9%).</p><p><strong>Conclusions: </strong>The number of IOL exchange procedures performed among Medicare beneficiaries increased over the last decade. Male ophthalmologists in urban locations performed the majority of IOL exchanges. The most common post-operative complication was epiretinal membrane. The rates of corneal decompensation, retinal detachment, and endophthalmitis were low.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Visual Outcomes and Satisfaction in Patients with High Myopia Following Cataract Surgery with Trifocal Intraocular Lens Implantation.","authors":"Zongli Hu, Xue Zhan, Yan Huo, Jian Ye","doi":"10.1097/j.jcrs.0000000000001718","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001718","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the 3-month outcomes of visual performance and satisfaction of patients with high myopia after implantation of trifocal intraocular lens (IOL).</p><p><strong>Setting: </strong>Army Medical Center of PLA, Chongqing, China.</p><p><strong>Design: </strong>Retrospective case series.</p><p><strong>Methods: </strong>Patients were divided to 2 groups according to the spherical equivalent (SEQ) (high myopia ≤ -6.0D and non-high myopia >-6.0 D). Corrected distance visual acuity (CDVA), uncorrected distance visual acuity (UDVA) at 5m, uncorrected intermediate visual acuity (UIVA) at 60cm, uncorrected near visual acuity (UNVA) at 40cm, defocus curve, refraction, visual quality and satisfaction were compared at 3 months postoperatively.</p><p><strong>Results: </strong>Of 57 patients (89 eyes) enrolled, 32 eyes (36%) were highly myopic and 57 eyes (64%) were non-highly myopic. At 3 months, both groups exhibited smooth defocus curves, with better visual acuity at 0D, -0.5D and -2.0D. Mean SEQ was -0.19(-0.25, 0.00) D and 0.00(-0.25, 0.00) D in the highly myopic and non-highly myopic groups, respectively, with no significant difference (p = 0.34). There were no significant differences between the 2 groups in CDVA, UDVA, UIVA, UNVA, spectacle independence or satisfaction (p > 0.05). Higher order aberrations (HOA) and trefoil aberration were greater in highly myopic group (p < .05).</p><p><strong>Conclusions: </strong>Trifocal IOL implantation provides satisfactory full-range visual acuity on the premise of no complications, with a spectacle independence rate of over 90%. Although HOA and trefoil aberration were greater in patients with high myopia, they achieve comparable visual acuity and spectacle independence rates, with a high satisfaction.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deciphering corneal astigmatism - calculation pitfalls and how to avoid them.","authors":"Achim Langenbucher, Jascha Wendelstein, Alan Cayless, Nóra Szentmáry, Peter Hoffmann, David Cooke, Damien Gatinel, Michael Goggin, Tun-Kuan Yeo, Thomas Olsen","doi":"10.1097/j.jcrs.0000000000001717","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001717","url":null,"abstract":"<p><p>Options for correcting astigmatism include spectacles or contact lenses, corneal refractive laser surgery or relaxing incisions, toric lenses in the capsular bag, or implantation of supplementary toric lenses in the phakic or pseudophakic eye. This correspondence addresses some of the potential pitfalls which could cause calculation errors when working with astigmatic surfaces and spherocylindrical vergences and gives some advice on avoiding these. To provide some insight, each potential pitfall is illustrated with a clinical example.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on paper: \"Depth of focus as a function of spherical aberration using adaptive optics in pseudophakic subjects\" by Tabernero et al.","authors":"Li Wang, Douglas D Koch","doi":"10.1097/j.jcrs.0000000000001705","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001705","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}