Journal of cataract and refractive surgery最新文献

{"title":"Agreement between slitlamp retroillumination images and Scheimpflug retroillumination display for toric intraocular lens orientation.","authors":"Giacomo Savini, Kenneth J Hoffer, Arianna Grendele, Catarina C P Coutinho, Gianluca Cappuccini, Domenico Schiano-Lomoriello","doi":"10.1097/j.jcrs.0000000000002038","DOIUrl":"10.1097/j.jcrs.0000000000002038","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148793443","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 European Society of Cataract and Refractive Surgeons Cataract Simulation Curriculum: Wet Lab and Virtual Reality Pathways to Competency.","authors":"Lida P Lalou, Sarah Maling","doi":"10.1097/j.jcrs.0000000000002036","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000002036","url":null,"abstract":"<p><p>Cataract surgery training across Europe remains heterogeneous despite high procedural demand, and a harmonized simulation pathway is lacking. This Special Report proposes an ESCRS cataract simulation curriculum that national training bodies and educators can adapt to existing programmes. It synthesizes European training surveys, evidence on simulation-related performance and safety benefits, and European Society of Cataract and Refractive Surgery (ESCRS) educational infrastructure. The pathway comprises entry assessment, foundation skills, core phacoemulsification, complication management, supervised operating-room progression, and maintenance of competency. Progression is based on objective virtual reality (VR) metrics or structured wet-lab scoring combined with workplace-based assessments. Model-eye and VR modalities are mapped to complementary stages of training, and implementation is framed around national portfolio integration, regional hubs, the ESCRS Moving Simulator, sustainability metrics, and equity monitoring. A standardized but locally adaptable curriculum may improve readiness for live surgery, support maintenance of competency, and promote safer, more equitable cataract training.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148793550","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":"Predictors for retreatment following laser-assisted in situ keratomileusis for high myopia.","authors":"Waseem Nasser, Adir Sommer, Dror Ben Ephraim Noyman, Margarita Safir, Tzahi Sela, Gur Munzer, Igor Kaiserman, Eyal Cohen, Michael Mimouni","doi":"10.1097/j.jcrs.0000000000002033","DOIUrl":"10.1097/j.jcrs.0000000000002033","url":null,"abstract":"<p><strong>Purpose: </strong>To identify risk factors for retreatment after laser-assisted in situ keratomileusis (LASIK) in eyes with high myopia.</p><p><strong>Setting: </strong>Care Vision Laser Center, Tel Aviv, Israel.</p><p><strong>Design: </strong>Retrospective comparative study.</p><p><strong>Methods: </strong>Data from eyes with myopia ≥6 diopters (D) treated between 2000 and 2022 were analyzed. Eyes were grouped according to retreatment status. Preoperative and intraoperative parameters were compared using t tests and chi-square tests. Generalized estimating equations (GEE) logistic regression accounting for intereye correlation, including variables with P < .1, was performed to identify independent predictors of retreatment.</p><p><strong>Results: </strong>The study included 2100 eyes (2020 controls and 80 retreatments). Retreatment eyes had shorter contact lens-free intervals ( P = .029) and a higher proportion of baseline cylinder <-1.0 D (32.5% vs 21.9%, P = .025). Significant differences were observed in uncorrected distance visual acuity ( P = .026) and corrected distance visual acuity ( P = .034). Intraoperatively, retreatment cases had higher treated cylinder ( P = .043), greater ablation depth (104.7 ± 14.8 vs 100.6 ± 12.5 μm, P = .004), and the optical-zone distribution differed between groups, with more 6.0 mm treatments and no 7.0 mm treatments in retreatment eyes ( P < .001). Retreatment was also associated with earlier surgical years ( P < .001) and use of the EX200 laser ( P = .01). GEE logistic regression identified 2 independent predictors: baseline cylinder <-1.0 D (odds ratio [OR] 2.208, 95% CI 1.126-4.330, P = .021) and EX200 laser use (OR 4.776, 95% CI 2.496-9.140, P < .001).</p><p><strong>Conclusions: </strong>LASIK retreatment in high myopia is independently associated with higher baseline refractive cylinder and older laser technology (EX200). Optimizing patient selection and adopting modern laser platforms may reduce the likelihood of additional procedures.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148721815","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":"Preoperative corneal irregular astigmatism and long-term visual outcomes after multifocal intraocular lens implantation.","authors":"Raimo Tuuminen, Piotr Kanclerz, Sohee Jeon","doi":"10.1097/j.jcrs.0000000000002028","DOIUrl":"10.1097/j.jcrs.0000000000002028","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the clinical significance of preoperative higher-order aberrations in the long-term visual outcomes after multifocal intraocular lens (mIOL) implantation.</p><p><strong>Setting: </strong>Keye Eye Center, Seoul, Korea.</p><p><strong>Design: </strong>Retrospective single-center clinical cohort study.</p><p><strong>Methods: </strong>Bilateral implantation of PanOptix mIOL with 3-year follow-up. Eyes were stratified based on total corneal irregular astigmatism (TCIA) in Scheimpflug tomography into low (≤0.15 μm), moderate (>0.15 to <0.30 μm), and high (≥0.30 μm) TCIA groups.</p><p><strong>Results: </strong>In the cohort of 474 eyes of 237 patients, those with high TCIA had greater prevalence of prior refractive surgery (16% vs 2%; P < .001), greater spherical aberration (0.45 ± 0.26 diopters [D] vs 0.28 ± 0.10 D; P < .001), and lower central corneal thickness (511 ± 43 μm vs 548 ± 30 μm; P = .001) than those with low TCIA. High TCIA resulted in worse uncorrected distance visual acuity (UDVA) at 1 year (0.11 ± 0.10 vs 0.03 ± 0.08 logMAR units; P = .001) and at 3 years (0.16 ± 0.15 vs 0.04 ± 0.08 logMAR units; P < .001) compared with low TCIA, despite comparable postoperative refractive outcomes. At 3 years, Strehl ratio (0.024 ± 0.019 vs 0.041 ± 0.027; P = .001), photopic (1.23 ± 0.14 vs 1.39 ± 0.20; P < .001), and mesopic area under the log contrast sensitivity function (0.91 ± 0.16 vs 1.06 ± 0.19; P < .001) were worse in high TCIA group compared with low TCIA group. Greater preoperative TCIA was associated with poorer age-adjusted and sex-adjusted UDVA ( B = 0.174, 95% CI 0.101-0.248, P < .001), corrected distance visual acuity ( B = 0.261, 95% CI 0.132-0.389, P < .001), and Strehl ratio ( B = -0.598, 95% CI -0.865 to -0.332, P < .001) at 3 years.</p><p><strong>Conclusions: </strong>High preoperative TCIA should be considered as predictive for impaired long-term visual acuity and quality outcomes after mIOL implantation.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148722500","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":"Incidence of femtosecond laser-assisted LASIK flap complications: A Systematic Review.","authors":"Abu Bakar Butt, Angelica Hanna, Minoo Tohidi Kaloorazi, Sara KamaliZonouzi, Melody Hanna, Brendan K Tao, Joshua C Teichman","doi":"10.1097/j.jcrs.0000000000002031","DOIUrl":"10.1097/j.jcrs.0000000000002031","url":null,"abstract":"<p><strong>Topic: </strong>This review evaluated the incidence and visual significance of flap-related complications in femtosecond LASIK.</p><p><strong>Clinical relevance: </strong>Femtosecond laser-assisted LASIK has largely replaced mechanical microkeratomes for flap creation due to improved precision and safety. Understanding the incidence and clinical consequences of flap-related complications is essential for patient counseling and surgical planning.</p><p><strong>Methods: </strong>A systematic search of Ovid MEDLINE, Embase, and CINAHL was conducted from database inception to October 10, 2024 including English-language clinical reports of patients undergoing femtosecond LASIK that reported flap-related complications. Small case series (<5 patients), secondary articles, conference abstracts, and cost-analysis studies were excluded. Study screening and data extraction were performed independently by two reviewers. The primary outcome was the incidence of LASIK flap complications stratified by femtosecond laser platform; secondary outcomes included postoperative visual acuity. Risk of bias was assessed at the outcome level using RoB 2 for randomized clinical trials and ROBINS-I for observational studies. Findings were synthesized narratively with descriptive summary of incidence proportions; no meta-analysis was performed due to heterogeneity in study designs and laser platforms. The review was registered in PROSPERO (CRD42024608238) with no post-submission amendments.</p><p><strong>Results: </strong>Twenty-seven studies published between 1997 and 2024 were included, comprising 28,531 eyes across multiple countries. The most frequently reported intraoperative event was opaque bubble layer, occurring in 19.7% of eyes (range 2.0-56.4%). Diffuse lamellar keratitis was reported in 6.3% of eyes and typically resolved without long-term visual impact. Epithelial ingrowth (2.1%), microstriae (1.6%), and incomplete flaps (0.17%) were uncommon. Other flap-related events, including buttonholes, free caps, epithelial defects, and traumatic flap injuries, were rare (<1%).</p><p><strong>Conclusions: </strong>Femtosecond LASIK is associated with low rates of clinically significant flap-related complications, with excellent visual outcomes in most cases. Standardized reporting and longer-term prospective studies are needed to further refine complication benchmarks across femtosecond platforms.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148721801","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":"Incidence and outcomes of intraocular lens exchanges in patients dissatisfied with multifocal lenses: 15-year retrospective dataset analysis.","authors":"Dimitris Kazakos, Stephen J Hannan, Jan A Venter, David Teenan, Huba J Kiss, Noelle C Hannan, Colin W Berry, David R Cooper, Dasi Raju, Steven C Schallhorn, Julie M Schallhorn","doi":"10.1097/j.jcrs.0000000000001908","DOIUrl":"10.1097/j.jcrs.0000000000001908","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the incidence, clinical outcomes, and adverse event rates of intraocular lens (IOL) exchange in patients dissatisfied with presbyopia-correcting multifocal IOLs.</p><p><strong>Setting: </strong>Private clinics, United Kingdom.</p><p><strong>Design: </strong>Retrospective study.</p><p><strong>Methods: </strong>Data of patients who underwent multifocal IOL implantation between 2007 and 2021 and required the exchange of IOLs due to quality of vision issues or insufficient near vision were reviewed. IOL exchanges for other reasons (dislocation, opacification, or other adverse events) were not included in the analysis. Visual and refractive outcomes of the lens exchange procedure were analyzed for the last available follow-up.</p><p><strong>Results: </strong>The mean time from the primary procedure to the IOL exchange was 13.6 ± 8.3 months. The total IOL exchange rate was 0.63% (688 of 109 274 lenses). Of these, 637 exchanges (0.58%) were performed because of quality of vision issues, and 51 (0.05%) were exchanged primarily because of insufficient near vision (eg, IOL with lower near addition exchanged for an IOL with stronger near addition). Post-IOL exchange, 71.7% (493/688) and 91.3% (628/688) were within 0.50 diopter (D) and 1.00 D of emmetropia, respectively. The mean postexchange uncorrected distance visual acuity was 0.11 ± 0.21 logMAR (20/25 -0.5 ). The anatomical position of the secondary IOL was as follows: in-the-bag fixation 86.8% (597/688), ciliary sulcus fixation 12.5% (86/688), and alternative fixation (iris claw, scleral fixation, or IOL suturing) in 0.7% of cases (5/688).</p><p><strong>Conclusions: </strong>Patients requiring an IOL exchange due to dissatisfaction with multifocal lenses achieved favorable refractive and visual outcomes. In-the-bag implantation of secondary IOL was possible in most cases.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"757-765"},"PeriodicalIF":3.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146201754","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":"Incision-induced astigmatic changes in eyes undergoing simultaneous phakic intraocular lens explantation and phacoemulsification.","authors":"Klemens P Kaiser, Jascha A Wendelstein, Leonard Seewald, Tyll Jandewerth, Petra Davidova, Achim Langenbucher, Thomas Kohnen","doi":"10.1097/j.jcrs.0000000000001909","DOIUrl":"10.1097/j.jcrs.0000000000001909","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate surgically induced astigmatism (SIA) in bilensectomy, the simultaneous phakic intraocular lens (pIOL) explantation and femtosecond laser-assisted cataract surgery, comparing outcomes between corneal and scleral incision approaches.</p><p><strong>Design: </strong>Retrospective consecutive case series.</p><p><strong>Setting: </strong>Tertiary referral university hospital.</p><p><strong>Methods: </strong>Preoperative and 3-month postoperative Scheimpflug-based tomography was used to assess anterior (simK) and total corneal refractive power (TCRP). In eyes with soft pIOL, removal was performed through a temporal 2.2 mm corneal incision that was manually enlarged to 2.4 to 2.6 mm (C-Ex group). In eyes with rigid pIOL, explantation was through a 6 mm superior scleral incision (S-Ex group). Vector analysis was performed, and SIA variability was evaluated through difference vectors (DV) and 80% and 95% confidence ellipses (CE) as well as 95% confidence polygonal areas.</p><p><strong>Results: </strong>41 eyes (29 patients) were included (23 C-Ex group and 18 S-Ex). Mean absolute astigmatism difference was 0.47 ± 0.32 diopter (D) for simK and 0.53 ± 0.38 D for TCRP. DV magnitudes were 0.66 ± 0.40 D and 0.77 ± 0.53 D, respectively, with no significant difference ( P = .998). Analysis of centroid and medoid values, as well as CE areas, showed lower variance under simK compared with TCRP (CE 80%: 0.65 D 2 vs 0.92 D 2 ; CE 95%: 1.22 D 2 vs 1.72 D 2 , respectively). After 3 months, the S-Ex group exhibited comparable astigmatic outcomes with the C-Ex group for soft pIOLs.</p><p><strong>Conclusions: </strong>simK and TCRP yield similar SIA magnitudes, although TCRP reveals greater variability. Steep meridian shifts in magnitude and axis are common after bilensectomy and must be considered when implanting toric intraocular lenses. Further large-scale, longitudinal studies are required to confirm these results.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"766-773"},"PeriodicalIF":3.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146201757","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":"Study on the relationship between bacterial endotoxin and the onset of toxic anterior segment syndrome.","authors":"Koichi Ono, Emi Sugizaki, Shaimaa Ibrahim, Genki Koyama, Yasuo Nakamura, Yuji Haishima","doi":"10.1097/j.jcrs.0000000000001916","DOIUrl":"10.1097/j.jcrs.0000000000001916","url":null,"abstract":"<p><strong>Purpose: </strong>To comprehensively analyze the contamination status of pyrogen including bacterial endotoxins, considered as one of the onset agents of toxic anterior segment syndrome (TASS), in medical devices used for cataract surgery, and to improve the cleanliness of the devices by new sterilization technology.</p><p><strong>Setting: </strong>Innovative Decontamination Technology Development and Evaluation Center, Miura Co. Ltd., Yokohama, Japan.</p><p><strong>Design: </strong>Experimental study.</p><p><strong>Methods: </strong>The pyrogen levels of the medical devices were evaluated using a direct human cell-based pyrogen test that is not affected by the recovery ratio, unlike the endotoxin test. Pyrogen inactivation tests were further performed using low-temperature ozone/hydrogen peroxide mixed gas sterilization.</p><p><strong>Results: </strong>Significant pyrogen levels from 0.22 to 11.6 endotoxin units (EU)/product as a worst case were detected in 7 of 11 medical devices. These products might have exceeded the previously reported threshold (0.02 to 0.05 EU/eye) for inducing dose-dependent inflammatory responses in the mammalian vitreous during actual use. However, our study revealed that pyrogen contamination in the devices was reduced below the detection limit after ozone/hydrogen peroxide mixed gas sterilization under an elaborate treatment mode at 50°C.</p><p><strong>Conclusions: </strong>The precise amount of pyrogen required to induce human TASS remains unknown; however, currently available medical products for intraocular surgery were found to be contaminated with nonnegligible amounts of pyrogens, and the possibility of a causal relationship between actual product use and the onset of TASS cannot be ruled out. This potential risk could be eliminated by replacing the current sterilization method with ozone/hydrogen peroxide mixed gas treatment.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"813-818"},"PeriodicalIF":3.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146201706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal changes in corneal epithelial thickness after FS-LASIK, keratorefractive lenticule extraction, and transepithelial PRK: systematic review and meta-analysis.","authors":"Tsung-Hsien Tsai, Jui-Hung Hsu, Ling-Shuo Chang, Jen-Hung Wang, Chi-Chin Sun","doi":"10.1097/j.jcrs.0000000000001924","DOIUrl":"10.1097/j.jcrs.0000000000001924","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the longitudinal changes in corneal epithelial thickness after FS-LASIK, keratorefractive lenticule extraction (KLEx), and transepithelial photorefractive keratectomy (tPRK).</p><p><strong>Setting: </strong>Multicenter, international.</p><p><strong>Design: </strong>Systematic review and meta-analysis.</p><p><strong>Methods: </strong>This study was registered with International Platform of Registered Systematic Review and Meta-Analysis Protocols (INPLASY202510085). A systematic search of electronic databases was conducted through January 2025 in accordance with PRISMA guidelines. Studies reporting both baseline and postoperative corneal epithelial thickness in myopic eyes treated with FS-LASIK, KLEx, or tPRK were included. Data from 33 studies (n = 2579 eyes) were extracted, with 23 studies incorporated into the meta-analysis. Meta-regressions were performed to identify predictors of epithelial thickness changes.</p><p><strong>Results: </strong>FS-LASIK-treated eyes exhibited a central epithelial thickness increase of 3.31 ± 0.75 μm at 1 month, further increasing to 4.58 ± 0.72 μm at 6 months. KLEx resulted in central thickening of 2.51 ± 0.28 μm at 1 month and 3.82 ± 0.35 μm at 6 months. By contrast, tPRK eyes initially demonstrated epithelial thinning, followed by central thickening reaching 3.89 ± 0.38 μm at 6 months. Meta-regression analyses indicated that each additional diopter of myopic correction was associated with 1.05 μm greater central epithelial thickening in FS-LASIK and 1.04 μm in KLEx at 3 months postoperatively. In addition, an increase in the programmed optical zone (OZ) corresponded to a reduction in postoperative epithelial thickness.</p><p><strong>Conclusions: </strong>Distinct epithelial remodeling patterns were observed: rapid, early thickening and stabilization with FS-LASIK and KLEx vs delayed regeneration with tPRK. Baseline spherical equivalent and programmed OZ were predictors of corneal epithelial thickness changes, suggesting procedure-specific remodeling profiles that may support future refinement of refractive planning.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"786-794"},"PeriodicalIF":3.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147290003","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":"Hypnosis in photoablative refractive surgery: monocentric prospective study.","authors":"Oscar Kallay, Anna Zein-El-Din, Thierry Vilet","doi":"10.1097/j.jcrs.0000000000001926","DOIUrl":"10.1097/j.jcrs.0000000000001926","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the efficacy of hypnosis in anxiety, fear control, and surgical ease in refractive surgery.</p><p><strong>Setting: </strong>1 single outpatient ophthalmological clinic in Belgium.</p><p><strong>Design: </strong>Monocentric randomized prospective study conducted from September 2024 to March 2025.</p><p><strong>Methods: </strong>34 patients aged 18 to 60 were randomized into 2 groups: standard care (photorefractive keratectomy or laser in situ keratomileusis) (control) and standard care plus hypnosis (experimental) where patients underwent real-time hypnosis during surgery. Anxiety levels were measured preoperatively and postoperatively using the Amsterdam Preoperative Anxiety and Information Scale, along with heart rate monitoring and surgeon-rated intraoperative parameters. Patient satisfaction and communication quality were also assessed.</p><p><strong>Results: </strong>Anxiety scores were similar across groups, with no significant hemodynamic differences. However, the hypnosis group showed significantly better co-operation ( P = .004) and surgical comfort ( P < .0001). They also reported higher intraoperative comfort, satisfaction, and communication quality ( P < .05).</p><p><strong>Conclusions: </strong>To the authors' knowledge, this is the first study to demonstrate that conversational hypnosis significantly enhances patient experience and surgical co-operation during refractive laser surgery, despite no effect on physiological markers. It represents a promising adjunct relaxing technique useful in outpatient settings.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"801-805"},"PeriodicalIF":3.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147290041","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}