Journal of cataract and refractive surgery最新文献

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Effect of residual sphere on uncorrected visual acuity and satisfaction in patients with monofocal and multifocal intraocular lenses. 残余球面对配戴单焦点和多焦点眼内透镜患者未矫正视力和满意度的影响。
IF 2.6 3区 医学
Journal of cataract and refractive surgery Pub Date : 2024-06-01 DOI: 10.1097/j.jcrs.0000000000001418
Steven C Schallhorn, Keith A Hettinger, Stephen J Hannan, Jan A Venter, David Teenan, Julie M Schallhorn
{"title":"Effect of residual sphere on uncorrected visual acuity and satisfaction in patients with monofocal and multifocal intraocular lenses.","authors":"Steven C Schallhorn, Keith A Hettinger, Stephen J Hannan, Jan A Venter, David Teenan, Julie M Schallhorn","doi":"10.1097/j.jcrs.0000000000001418","DOIUrl":"10.1097/j.jcrs.0000000000001418","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the effect of residual sphere on vision and satisfaction in pseudophakic patients.</p><p><strong>Setting: </strong>Private clinics, United Kingdom.</p><p><strong>Design: </strong>Retrospective case series.</p><p><strong>Methods: </strong>A multivariate model evaluated the effect of 1-month residual sphere on outcomes of pseudophakic patients. Odds ratios (ORs) were calculated to assess the relative risk of not achieving ≥20/20 monocular uncorrected distance visual acuity (UDVA), ≥20/50 uncorrected near visual acuity (UNVA), and not being satisfied with vision. ORs were assessed for residual sphere -1.00 to +1.00 diopter (D) in quarter-diopter steps, using 0.00 D as a reference.</p><p><strong>Results: </strong>The analysis included 38 828 multifocal and 11 571 monofocal intraocular lenses (IOLs). The residual myopic sphere ≤-0.25 D and hyperopic sphere ≥+0.50 D had a clinically meaningful effect on UDVA. Although monofocal IOLs had an improvement in UNVA with every additional 0.25 D of myopia, the change in ORs with increasing myopia was not significant for multifocal IOLs. The mean improvement in UNVA comparing eyes with 0.00 D and -1.00 D sphere was 0.26 logMAR for monofocal and 0.03 logMAR for multifocal IOLs. Low near-addition IOLs had a slightly higher gain in UNVA with increasing myopia, but the gain was not as substantial as with monofocal IOLs. The effect of ametropia on satisfaction was more pronounced for multifocal IOLs. For every 0.25 D of residual myopia, there was >25% increase in dissatisfied patients.</p><p><strong>Conclusions: </strong>Although myopia improved UNVA in eyes with monofocal IOL, multifocal IOLs did not benefit from residual myopia. Multifocal IOL patients desiring distance vision should be targeted closest to emmetropia, even if it means targeting slight hyperopia.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"591-598"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11146176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139729697","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}
引用次数: 0
Lens capsule pathological characteristics in cases of intraocular lens dislocation with atopic dermatitis. 伴有特应性皮炎的眼内晶状体脱位病例的晶状体囊病理学特征。
IF 2.6 3区 医学
Journal of cataract and refractive surgery Pub Date : 2024-06-01 DOI: 10.1097/j.jcrs.0000000000001413
Koji Komatsu, Yoichiro Masuda, Ai Iwauchi, Hoshiho Kubota, Masanobu Iida, Kosuke Ichihara, Masami Iwamoto, Kenji Kawai, Naoki Yamamoto, Masayuki Shimoda, Tadashi Nakano
{"title":"Lens capsule pathological characteristics in cases of intraocular lens dislocation with atopic dermatitis.","authors":"Koji Komatsu, Yoichiro Masuda, Ai Iwauchi, Hoshiho Kubota, Masanobu Iida, Kosuke Ichihara, Masami Iwamoto, Kenji Kawai, Naoki Yamamoto, Masayuki Shimoda, Tadashi Nakano","doi":"10.1097/j.jcrs.0000000000001413","DOIUrl":"10.1097/j.jcrs.0000000000001413","url":null,"abstract":"<p><strong>Purpose: </strong>To explore lens capsule pathological characteristics in intraocular lens (IOL) dislocation after cataract surgery in patients with atopic dermatitis (AD).</p><p><strong>Setting: </strong>University hospital department of ophthalmology.</p><p><strong>Design: </strong>Case series with clinicopathological correlations.</p><p><strong>Methods: </strong>Lens capsules and surrounding tissues excised during surgery from eyes with AD (AD group) and eyes without AD (non-AD group) with IOL dislocation were histologically evaluated. Hematoxylin and eosin staining was used to assess abnormal changes in lens epithelial cells (LECs). Masson trichrome staining distinguished the fibrous metaplasia around the lens capsule into high-density and low-density fibrosis. Capsular splitting (thinning) was identified in both stained preparations.</p><p><strong>Results: </strong>The IOL dislocation morphology in the AD group (10 eyes of 10 patients) included 7 cases of capsular bag dislocation (CBD) and 3 cases of dead bag syndrome (DBS), with an average duration to IOL dislocation of 11.5 ± 5.6 years. All patients in the non-AD group (12 eyes of 12 patients) had CBD, averaging 10.2 ± 5.7 years to dislocation. Abnormal LECs, low-density fibrosis, and capsular splitting were observed in 9 (90), 9 (90), and 6 (60) of the patients in the AD group compared with 6 (50), 3 (25), and 2 (18), respectively, in the non-AD group (total n [%]).</p><p><strong>Conclusions: </strong>Compared with the non-AD group, the AD group exhibited higher frequencies of morphological changes in LECs, low-density fibrosis around the lens capsule, and capsular splitting characteristics of DBS. These results suggest LEC degeneration and increased lens capsule fragility occurred in patients with AD.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"611-617"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11146175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139729725","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}
引用次数: 0
Long-term functional outcome between Yamane technique and retropupillary iris-claw technique in a large study cohort. 在一项大型研究队列中,山根技术和后瞳孔虹膜-爪技术的长期功能结果。
IF 2.6 3区 医学
Journal of cataract and refractive surgery Pub Date : 2024-06-01 DOI: 10.1097/j.jcrs.0000000000001421
Pier Luigi Guerin, Gian Marco Guerin, Marco Rocco Pastore, Stefano Gouigoux, Daniele Tognetto
{"title":"Long-term functional outcome between Yamane technique and retropupillary iris-claw technique in a large study cohort.","authors":"Pier Luigi Guerin, Gian Marco Guerin, Marco Rocco Pastore, Stefano Gouigoux, Daniele Tognetto","doi":"10.1097/j.jcrs.0000000000001421","DOIUrl":"10.1097/j.jcrs.0000000000001421","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate which secondary intraocular lens (IOL) implantation technique was more successful in achieving the best postoperative results and refractive outcomes between retropupillary iris-claw IOL (ICIOL) and flanged intrascleral IOL (FIIOL) fixation with the Yamane technique.</p><p><strong>Setting: </strong>Eye Clinic of the University of Trieste, Trieste, Italy.</p><p><strong>Design: </strong>Retrospective observational study.</p><p><strong>Methods: </strong>116 eyes of 110 patients who underwent ICIOL or FIIOL were analyzed. Patients with follow-up shorter than 6 months or with incomplete clinical data were excluded. Collected data included demographics, ocular comorbidity, indication of surgery, intraocular pressure, early (≤1 month) and late (>1 month) postoperative complications, corrected distance visual acuity (CDVA), and manifest refraction at the last follow-up visit.</p><p><strong>Results: </strong>50% (n = 58) of eyes underwent FIIOL and 50% (n = 58) ICIOL implantation for aphakia (n = 44, 38%) and IOL dislocation (n = 72, 62%). No statistically significant differences in demographics, comorbidity, follow-up duration, postoperative complications, and surgical indications were found. The refractive prediction error (RPE) was 0.69 ± 0.94 diopter (D) in the FIIOL group and 0.21 ± 0.75 D in the ICIOL group ( P = .03), indicating residual hyperopia after both techniques. RPE, mean absolute error, and median absolute error were higher in the FIIOL group ( P = .003). ICIOL implantation was more successful in obtaining a RPE between -0.50 D and +0.50 D (52% of ICIOL, n = 30, and 31% of FIIOL, n = 18).</p><p><strong>Conclusions: </strong>Both techniques were effective in increasing preoperative CDVA with no statistical difference between them. Although complication rates did not significantly differ, the FIIOL group exhibited less predictable refractive outcomes. Adjusting the dioptric power of the 3-piece IOL, as performed in ciliary sulcus implantation, to prevent myopic shift, is not recommended.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"605-610"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11146187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139729726","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}
引用次数: 0
Mesopic pupil indices as potential risk factors for glare disability after intraocular implantable collamer lens implantation: prospective study. 中焦瞳孔指数是眼内植入式准分子人工晶体植入术后产生残疾眩光的潜在风险因素:前瞻性研究。
IF 2.6 3区 医学
Journal of cataract and refractive surgery Pub Date : 2024-06-01 DOI: 10.1097/j.jcrs.0000000000001420
Jian Xiong, Jingjing Xu, Mengyun Zhou, Jie Liu, Qing Wang, Xiaolong Yin, Yan Deng, Xiao Luo, Nanye Wang, Fu Gui, Kang Yu, Jueling Liu, Zeyu Zhu, Chiwen Cheng, Yifeng Yu
{"title":"Mesopic pupil indices as potential risk factors for glare disability after intraocular implantable collamer lens implantation: prospective study.","authors":"Jian Xiong, Jingjing Xu, Mengyun Zhou, Jie Liu, Qing Wang, Xiaolong Yin, Yan Deng, Xiao Luo, Nanye Wang, Fu Gui, Kang Yu, Jueling Liu, Zeyu Zhu, Chiwen Cheng, Yifeng Yu","doi":"10.1097/j.jcrs.0000000000001420","DOIUrl":"10.1097/j.jcrs.0000000000001420","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the influence of preoperative factors, including varying pupil sizes and refractive attributes, on postoperative glare disability in patients undergoing implantable collamer lens (ICL) implantation.</p><p><strong>Setting: </strong>Second Affiliated Hospital, Nanchang University, Nanchang, Jiangxi, China.</p><p><strong>Design: </strong>Prospective observational study.</p><p><strong>Methods: </strong>The preoperative ocular characteristics and 6-month postoperative glare status in eligible patients who underwent EVO-Visian ICL V4c (VICMO) implantation were analyzed. The glare disability criteria encompassed a glare symptom score >6 and glare sensitivity exceeding 1:2.7. Logistic regression analysis was used to explore the relationship between the preoperative ocular parameters and post-ICL glare.</p><p><strong>Results: </strong>The study included 95 patients (mean age, 26.04 ± 6.29 years), comprising 30 men (58 eyes) and 65 women (129 eyes). Multivariate analysis revealed a significant correlation between postoperative glare disability and increased spherical power in preoperative mesopic pupils (β = -0.124, P = .039), as well as elevated cylinder power in preoperative mesopic (β = -0.412, P = .009) and photopic pupils (β = -0.430, P = .007). Moreover, a larger preoperative mesopic pupil diameter (β = 0.561, P = .005) demonstrated a significant correlation with glare disability.</p><p><strong>Conclusions: </strong>Preoperative mesopic pupil dimensions and associated refractive parameters, such as sphere and cylinder, were correlated with glare disability, including the cylinder aspect in photopic pupils, which can assist clinicians in optimizing preoperative selection for ICL implantation, aiding in the anticipation of potential glare disability risks.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"565-571"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11146185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139729727","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}
引用次数: 0
Visual and refractive outcomes after bilateral implantation of an enhanced monofocal intraocular lens: prospective study. 双侧植入增强型单焦点人工晶体后的视力和屈光效果:一项前瞻性研究。
IF 2.6 3区 医学
Journal of cataract and refractive surgery Pub Date : 2024-06-01 DOI: 10.1097/j.jcrs.0000000000001422
Javier García-Bella, Bárbara Burgos-Blasco, Beatriz Vidal-Villegas, Nuria Garzón, Celia Villanueva, Julián García-Feijoo
{"title":"Visual and refractive outcomes after bilateral implantation of an enhanced monofocal intraocular lens: prospective study.","authors":"Javier García-Bella, Bárbara Burgos-Blasco, Beatriz Vidal-Villegas, Nuria Garzón, Celia Villanueva, Julián García-Feijoo","doi":"10.1097/j.jcrs.0000000000001422","DOIUrl":"10.1097/j.jcrs.0000000000001422","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate visual and refractive outcomes, as well as patient satisfaction after bilateral implantation of an enhanced monofocal intraocular lens (IOL) with emmetropia as a target refraction.</p><p><strong>Setting: </strong>San Carlos Hospital, Madrid, Spain.</p><p><strong>Design: </strong>Prospective, monocentric, noncomparative study.</p><p><strong>Methods: </strong>Adults 21 years or older suitable for cataract surgery and with corneal astigmatism <1.50 diopters (D) were bilaterally implanted with the RayOne EMV IOL and followed up for 3 months. Outcomes measures included refraction, monocular and binocular uncorrected distance visual acuity, corrected distance visual acuity (CDVA), uncorrected intermediate visual acuity, distance-corrected intermediate visual acuity (DCIVA), and defocus curve, aberrometry, and satisfaction. Visual symptoms were assessed using the CatQuest-9SF questionnaire.</p><p><strong>Results: </strong>50 eyes of 25 patients were included. At month 3, the mean manifest spherical equivalent was -0.39 ± 0.28 D, with all eyes within 1.00 D. Binocularly, uncorrected, at distance, 68% of patients could read ≤0.0 logMAR and 95% ≤0.2 logMAR; at intermediate 59% of patients could read ≤0.1 and 100% ≤0.2 logMAR. Mean monocular CDVA was -0.03 ± 0.06 logMAR and mean monocular DCIVA was 0.28 ± 0.07 logMAR. Binocular defocus curve demonstrated a visual acuity ≤0.2 logMAR over a 2 D range from +1.00 D to -1.25 D. Satisfaction was good in 96% of patients.</p><p><strong>Conclusions: </strong>Bilateral implantation of an enhanced monofocal IOL with emmetropia as a target provided excellent binocular CDVA and good DCIVA, with a high level of satisfaction.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"585-590"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11146183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139729728","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}
引用次数: 0
Hyperopic LASIK and postoperative corneal steepness: revisiting the 49-diopter limit. 远视 LASIK 与术后角膜陡度:重新审视 49D 限制。
IF 2.6 3区 医学
Journal of cataract and refractive surgery Pub Date : 2024-06-01 DOI: 10.1097/j.jcrs.0000000000001411
Ruti Sella, Nir Sorkin, Margarita Safir, Yonatan Beylin, Tzahi Sela, Gur Munzer, Igor Kaiserman, Michael Mimouni
{"title":"Hyperopic LASIK and postoperative corneal steepness: revisiting the 49-diopter limit.","authors":"Ruti Sella, Nir Sorkin, Margarita Safir, Yonatan Beylin, Tzahi Sela, Gur Munzer, Igor Kaiserman, Michael Mimouni","doi":"10.1097/j.jcrs.0000000000001411","DOIUrl":"10.1097/j.jcrs.0000000000001411","url":null,"abstract":"<p><strong>Purpose: </strong>To compare corrected distance visual acuity (CDVA) outcomes of hyperopic laser in situ keratomileusis (LASIK) with a postoperative corneal steepness above vs below 49 diopters (D).</p><p><strong>Setting: </strong>Care-Vision Laser Centers, Tel-Aviv, Israel.</p><p><strong>Design: </strong>Retrospective study.</p><p><strong>Methods: </strong>This study included consecutive patients who underwent hyperopic LASIK between January 2013 and December 2019. Hyperopic patients were divided into 2 groups based on postoperative corneal steepness with steep corneas defined >49.0 D and the control group ≤49.0 D. Adjustments were performed to account for differences in baseline and intraoperative parameters.</p><p><strong>Results: </strong>Overall, 1703 eyes of 1703 patients were included. Mean age was 48.3 ± 10.0 years, and 45.3% were male. Preoperatively, the steep group (2.4%, n = 41/1703) had steeper mean (44.6 D vs 43.1 D, P < .001) and steep (45.1 D vs 43.5 D, P < .001) keratometry, worse logMAR CDVA (0.07 vs 0.04, P = .02), and higher sphere (4.9 D vs 2.9 D, P < .001). Intraoperatively, they had a higher spherical treatment (4.6 D vs 2.8 D, P < .001). After hyperopic LASIK, the steep group had worse logMAR CDVA (0.10 vs 0.06, P = .01). However, after accounting for differences in baseline and spherical treatment, no significant differences were found in postoperative logMAR CDVA (0.06 vs 0.06, P = .99). The factors that remained associated with worse postoperative CDVA were higher spherical treatment (0.01 logMAR per 1 D, P < .001) and preoperative CDVA (0.60 logMAR per 1.00 logMAR, P < .001).</p><p><strong>Conclusions: </strong>Postoperative corneal steepness greater than 49 D is not associated with worse visual outcomes after hyperopic LASIK. However, lower preoperative visual potential and higher spherical treatment applied are associated with worse outcomes. The 49 D cutoff should be revisited.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"550-557"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11146188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139671883","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}
引用次数: 0
Impact of spherical aberration on visual quality and depth of focus. 球差对视觉质量和焦深的影响
IF 2.6 3区 医学
Journal of cataract and refractive surgery Pub Date : 2024-06-01 DOI: 10.1097/j.jcrs.0000000000001404
Jack T Holladay, Karim Kozhaya, Douglas D Koch, Li Wang
{"title":"Impact of spherical aberration on visual quality and depth of focus.","authors":"Jack T Holladay, Karim Kozhaya, Douglas D Koch, Li Wang","doi":"10.1097/j.jcrs.0000000000001404","DOIUrl":"10.1097/j.jcrs.0000000000001404","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":"50 6","pages":"651-652"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11139234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075783","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}
引用次数: 0
Clinical outcomes of epithelial basement membrane dystrophy after keratorefractive lenticule extraction. 角膜屈光性扁桃体摘除术后上皮基底膜营养不良的临床结果
IF 2.6 3区 医学
Journal of cataract and refractive surgery Pub Date : 2024-06-01 DOI: 10.1097/j.jcrs.0000000000001409
Bu Ki Kim, Young Taek Chung
{"title":"Clinical outcomes of epithelial basement membrane dystrophy after keratorefractive lenticule extraction.","authors":"Bu Ki Kim, Young Taek Chung","doi":"10.1097/j.jcrs.0000000000001409","DOIUrl":"10.1097/j.jcrs.0000000000001409","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the clinical outcomes of keratorefractive lenticule extraction (KLEx) in eyes with epithelial basement membrane dystrophy (EBMD) that developed after surgery.</p><p><strong>Setting: </strong>Onnuri Smile Eye Clinic, Seoul, South Korea.</p><p><strong>Design: </strong>Retrospective single-center study.</p><p><strong>Methods: </strong>This study reviewed the medical records of 26 eyes of 16 patients who exhibited signs of EBMD after KLEx. Postoperatively, corneal findings and visual outcomes were evaluated. Statistical analyses were also performed on eyes without corneal complications after KLEx.</p><p><strong>Results: </strong>Signs of EBMD were first observed within 1 week postoperatively in 22 eyes (84.6%): 6 eyes (23.1%) showed epithelial defects, 10 eyes (38.5%) showed subepithelial corneal opacity, 5 eyes (19.2%) showed diffuse lamellar keratitis, and 1 eye (3.9%) showed epithelial ingrowth. Symptoms such as pain, while corneal lesions were present, occurred in 21 eyes (80.8%). At 3 months postoperatively, 21 eyes (80.8%) showed no specific findings on slitlamp microscopy after medical treatment, 2 eyes (7.7%) showed subepithelial corneal opacity, 2 eyes (7.7%) showed corneal scar, and 1 eye (3.9%) showed epithelial ingrowth. Uncorrected distance visual acuity was 20/25 or better in 24 eyes (92.3%), and spherical equivalent was within ±1.0 D in 20 eyes (76.9%). The efficacy index of the EBMD group did not significantly differ from the control group, while the safety index was significantly lower.</p><p><strong>Conclusions: </strong>Manifestations of EBMD can occur after KLEx and can affect clinical outcomes. Most cases showed favorable results with appropriate nonsurgical treatment; however, some cases had long-term complications such as corneal scarring.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"558-564"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11146164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139546271","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}
引用次数: 0
Innovative utilization of ultra-wide field fundus images and deep learning algorithms for screening high-risk posterior polar cataract. 创新利用超宽视野眼底图像和深度学习算法筛查高风险后极性白内障。
IF 2.6 3区 医学
Journal of cataract and refractive surgery Pub Date : 2024-06-01 DOI: 10.1097/j.jcrs.0000000000001419
Elsa L C Mai, Bing-Hong Chen, Tai-Yuan Su
{"title":"Innovative utilization of ultra-wide field fundus images and deep learning algorithms for screening high-risk posterior polar cataract.","authors":"Elsa L C Mai, Bing-Hong Chen, Tai-Yuan Su","doi":"10.1097/j.jcrs.0000000000001419","DOIUrl":"10.1097/j.jcrs.0000000000001419","url":null,"abstract":"<p><strong>Purpose: </strong>To test a cataract shadow projection theory and validate it by developing a deep learning algorithm that enables automatic and stable posterior polar cataract (PPC) screening using fundus images.</p><p><strong>Setting: </strong>Department of Ophthalmology, Far Eastern Memorial Hospital, New Taipei, Taiwan.</p><p><strong>Design: </strong>Retrospective chart review.</p><p><strong>Methods: </strong>A deep learning algorithm to automatically detect PPC was developed based on the cataract shadow projection theory. Retrospective data (n = 546) with ultra-wide field fundus images were collected, and various model architectures and fields of view were tested for optimization.</p><p><strong>Results: </strong>The final model achieved 80% overall accuracy, with 88.2% sensitivity and 93.4% specificity in PPC screening on a clinical validation dataset (n = 103).</p><p><strong>Conclusions: </strong>This study established a significant relationship between PPC and the projected shadow, which may help surgeons to identify potential PPC risks preoperatively and reduce the incidence of posterior capsular rupture during cataract surgery.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"618-623"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11146186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139729699","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}
引用次数: 0
Comment on: Incidence and factors for pseudoaccommodation after monofocal lens implantation: the Monofocal Extended Range of Vision study. 评论:单焦点镜片植入术后假性屈光不正的发生率和因素:单焦点扩展视力范围研究。
IF 2.6 3区 医学
Journal of cataract and refractive surgery Pub Date : 2024-06-01 DOI: 10.1097/j.jcrs.0000000000001450
Tushar Agrawal, O K Radhakrishnan, Jaya Agrawal, Shishir Agrawal
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