Journal of cataract and refractive surgery最新文献

{"title":"Effect of Capsular Tension Ring on Toric IOL Stability and Visual Outcomes in Cataract Patients with High Myopia:A Cohort Study including Two Types of Toric IOL.","authors":"Yilin Sun, Yiwen Hu, Chen Wang, Fang Liu","doi":"10.1097/j.jcrs.0000000000001689","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001689","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate capsular tension ring (CTR) impact on toric intraocular lens (IOL) stability in high axial myopia (AL≥26 mm).</p><p><strong>Setting: </strong>10th People's Hospital Affiliated to Tongji University, Shanghai, China.</p><p><strong>Design: </strong>Ambispective cohort study.</p><p><strong>Methods: </strong>90 eyes (68 patients) received CTR with toric IOL (CTR group, n=55) or toric IOL alone (control, n=35). Outcomes included rotational stability, decentration, tilt, residual astigmatism, and visual acuity at 1 week and 3 months. Statistical analyses incorporated t-tests, Kaplan-Meier survival analysis, and generalized estimating equations (GEE).</p><p><strong>Results: </strong>CTR improved early rotational stability (3.20±5.23° vs 4.26±3.68°, p=0.03) and reduced ≥10° rotation incidence (1.8% vs 12.9%, p=0.04). At 3 months, CTR decreased decentration (0.28±0.14mm vs 0.43±0.37mm, p=0.04) without affecting tilt. In AL≥30 mm subgroup, CTR reduced residual astigmatism (1 week: p=0.04) and delayed ≥10° rotation onset (p=0.003). Plate-haptic IOLs had higher rotation risk than C-loop designs (RR=6.613, p=0.01), but CTR reduced tilt in plate-haptic subgroup (0.96° vs 2.03°, p=0.005). Advanced age independently lowered rotation risk (RR=0.89, p=0.004).</p><p><strong>Conclusion: </strong>CTR enhances rotational stability and reduces decentration in high myopia, particularly for AL≥30 mm eyes. C-loop IOLs outperform plate-haptic designs in rotation resistance. Age is a protective factor against rotation. These findings support CTR use with plate-haptic IOLs in elongated eyes to optimize outcomes.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144804185","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 Effects of Corneal Flap Side-Cut Angle on Flap Alignment and Postoperative Vision and Refraction in Femtosecond LASIK.","authors":"Roee Arnon, Michael Mimouni, Tzahi Sela, Gur Munzer, Igor Kaiserman","doi":"10.1097/j.jcrs.0000000000001699","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001699","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the impact of two side-cut angle profiles on surgical outcomes following femtosecond laser in situ keratomileusis (FS-LASIK).</p><p><strong>Setting: </strong>Care-Vision Laser Center, Tel-Aviv, Israel.</p><p><strong>Design: </strong>Retrospective comparative chart review.</p><p><strong>Methods: </strong>This retrospective cohort study included patients who underwent wavefront-optimized femtosecond LASIK surgery between 2023 and 2024, with complete medical records. Eyes with a 70-degree side-cut angle were matched with those with a 120-degree angle. Monovision surgeries and any intraoperative complications were excluded from the analysis.</p><p><strong>Results: </strong>A total of 318 pairs of matched eyes were included in the study. The mean age of participants was 26.9 ± 7.2 years, ranging from 18 to 54 years, with 54% being female. The average follow-up period was 35.5 ± 29.9 days. Post-operative flap striae occurred more often in eyes with a 120-degree angle (3.1% vs. 0.9%, p=0.05). There were no significant differences in epithelial ingrowth, diffuse lamellar keratitis, post-op flap refloat and irrigate procedures, halos, or glare. The 70-degree group outperformed the 120-degree group, showing a statistically significant higher %SEQ within 0.50D (94.0% vs. 92.1%) and within 1.00D of the target (100% vs. 99.1%, p=0.003). The 70-degree group demonstrated higher safety index (1.07 vs. 1.06, p=0.02).</p><p><strong>Conclusion: </strong>Using a 70-degree side-cut angle may reduce the prevalence of post-operative striae, and better SEQ predictions, with no other differences in complications.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799203","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":"A quantitative assessment of the vault optimization along with the ocular bio-parameters and Implantable Collamer Lens sizing nomograms.","authors":"Lan Bifei, Cai Li, Xin Danli, Yao Hongyan, Wu Shanjun, Cheng Lingyun","doi":"10.1097/j.jcrs.0000000000001700","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001700","url":null,"abstract":"<p><strong>Purpose: </strong>To quantify the effect of the significant ocular bio-parameters and the nomograms for an optimal Implantable Collamer Lens (ICL) vault.</p><p><strong>Setting: </strong>Regional eye hospital.</p><p><strong>Design: </strong>Retrospective.</p><p><strong>Methods: </strong>Consecutive 103 patients (200 eyes) with implantation of ICL V4c were analyzed to find the important anterior eye parameters and the nomograms to achieve the optimal vaults (250 to 750 µm).</p><p><strong>Results: </strong>The study found that anterior chamber width (ACW, β = 5.17, p = 0.0003), angle-to-angle (ATA, β = -3.1, p = 0.0084), and crystalline lens rise (β = 0.0044, p = 0.0007) are the significant parameters for predicting optimal vaults. For the ACW, a 10 µm increase from its mean (11.76 mm) would lead to 1.76 times higher odds for an optimized vault while holding all other variables constant. In contrast, a 100 µm increase from the ATA mean (11.63 mm) was associated with a 9.5% reduction in odds to achieve an optimal vault. CASIA2-NK or the Dougherty nomogram had similar higher odds to achieve an optimal vault than that by OCOS (odds ratio = 5.8, p = 0.0069; odds ratio = 3.3, p = 0.024). The magnitude of the difference between ACW and ATA was significantly associated with the odds of optimal vault.</p><p><strong>Conclusions: </strong>The ACW and the ATA are both significant predictors for achieving an optimal vault; their size difference may bear significant value for ICL optimal vaults. CASIA2, along with its integrated formula, may be a stand-alone handy option for ICL size selection for the East Asian population.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325881","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":"Severe Macular Injury from Posterior Capsulotomies Performed using Selective Laser Trabeculoplasty (SLT) Laser Settings.","authors":"Jay M Jaber, Lisa Koenig, Kaylie Chen, Kyle Kovacs, Sarah Van Tassel","doi":"10.1097/j.jcrs.0000000000001698","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001698","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234241","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":"Comparison of Two Different Intraocular Lenses Used in the Modified Yamane Technique.","authors":"Mehmet Icoz, Eyüp Erkan","doi":"10.1097/j.jcrs.0000000000001701","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001701","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the efficacy and safety of two different intraocular lenses(IOLs) used in the modified Yamane technique.</p><p><strong>Setting: </strong>Yozgat City Hospital,Türkiye.</p><p><strong>Design: </strong>Retrospective study.</p><p><strong>Method: </strong>This study included 50 patients,divided into two groups:Group A(n=25) that received the Alcon MA60AC lens and Group S(n=25) that received the Sensar AR40e lens.Surgical indications included aphakia and subluxation of single-piece IOLs.The groups were compared based on demographic data,intraoperative and postoperative complications,visual acuity, and refractive outcomes.All participants were assessed preoperatively and at the sixth postoperative month.</p><p><strong>Results: </strong>No statistically significant differences were observed between the two groups in terms of age,gender,axial length,or IOL power(p>0.05).Both groups demonstrated significant improvements in uncorrected and corrected visual acuity(p<0.05).At six months postoperatively,the spherical refractive value was +0.75±0.48D in Group A and -0.56±0.49D in Group S (p=0.01).The deviation from the target refraction was 1.71±1.35D in Group A and 0.65±1.54D in Group S (p<0.001).No significant difference was found in cylindrical refraction between the groups(Group A:-1.56±0.95 D,Group S:-1.48±1.04 D,p>0.05). Intraoperative damage to the haptic occurred in one case in each group.In the postoperative period, no IOL-specific complications were observed;however,cystoid macular edema and retinal detachment were noted in one case each in Group A,and cystoid macular edema and pseudophakic bullous keratopathy were observed in one case each in Group S.</p><p><strong>Conclusion: </strong>To our knowledge,this is the first study comparing the outcomes of two different IOLs in the modified Yamane technique,based on real-life data.The results revealed that this technique could be performed effectively and safely with polymethylmethacrylate haptic IOLs.Furthermore,to achieve emmetropia,each IOL may require specific modifications for the target refraction.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799201","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":"New software program to improve biometry measurements obtained by an optical low-coherence reflectometry biometer.","authors":"David L Cooke, Tim L Cooke, Raj Patel, Michael T Heath, Mason Gardiner, David A Murphy, Kamran M Riaz","doi":"10.1097/j.jcrs.0000000000001630","DOIUrl":"10.1097/j.jcrs.0000000000001630","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate a new software program (SpikeFinder) that improves quality of measurements obtained by optical low-coherence reflectometry (OLCR) biometry (LENSTAR).</p><p><strong>Setting: </strong>Tertiary care academic center.</p><p><strong>Design: </strong>Retrospective case series.</p><p><strong>Methods: </strong>After applying inclusion criteria, 12 988 eyes scanned with OLCR biometry and swept-source optical coherence tomography (SS-OCT) biometry (IOLMaster700) were analyzed. Measurements, including axial length (AL), anterior chamber depth (ACD), and lens thickness (LT), were compared. SpikeFinder was applied to eyes with the most prominent ACD and LT measurement differences. Statistical testing was performed using Wilcoxon (2 variables) and Kruskal-Wallis analysis of variance (multiple variables) tests with Tukey post hoc adjustments. Heteroscedastic testing (WHWK Statistics Package) was used to assess differences after software application.</p><p><strong>Results: </strong>99.1% of AL measurements were within 0.01 mm between the 2 biometers. SS-OCT LT was significantly longer than the OLCR LT: 33% differed by ≥0.50 mm ( P < .001). Correspondingly, SS-OCT ACD was significantly shorter than OLCR ACD: 14% differed by ≥0.50 mm ( P < .001). SS-OCT biometer - OLCR biometer values for ACD and LT before applying SpikeFinder were -0.64 ± 0.31 mm and 1.15 ± 0.38 mm, respectively ( P < .001). After applying SpikeFinder to a subgroup of 337 eyes, these differences were -0.02 ± 0.03 mm and 0.01 ± 0.11 mm, respectively. SpikeFinder ACD and LT values were similar to SS-OCT biometer-measured ACD ( P = .872) and LT ( P = .987) values.</p><p><strong>Conclusions: </strong>The SpikeFinder program can help improve the accuracy of ACD and LT measurements obtained by the OLCR biometer, which may enhance the performance of formulas that use these measurements.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"476-482"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399200","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 evaluation of the effectiveness of asymmetric intrastromal corneal ring segments with progressive base width for management of keratoconus.","authors":"Quentin Hays, Sofiene Kallel, Thibaud Garcin, Clémentine David, Raphaël Barugel, Marie Borderie, Roxane Cuyaubère, Isabelle Goemaere, Vincent Borderie, Nacim Bouheraoua","doi":"10.1097/j.jcrs.0000000000001629","DOIUrl":"10.1097/j.jcrs.0000000000001629","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate visual, refractive, corneal topographic, and aberrometric results of asymmetric intracorneal ring segments (AS ICRSs) with variable width to manage asymmetric keratoconus.</p><p><strong>Setting: </strong>Quinze-Vingts National Ophthalmology Hospital, Paris, France.</p><p><strong>Design: </strong>Prospective observational study.</p><p><strong>Methods: </strong>According to their tomographic pattern, patients receiving 1 AS ICRS (INTRASEG asymmetric) were included. AS INTRASEG features an arc length of 150 degrees and asymmetric width (800 to 1200 μm). Anterior segment optical coherence tomography combined with Placido disc MS-39 was performed preoperatively and 1 month and 6 months postoperatively to assess keratometric and aberrometric outcomes and epithelial remodeling. Refractive outcomes were also evaluated. Analysis of the correction profile according to the width of the base of the ICRS was performed.</p><p><strong>Results: </strong>43 keratoconic eyes were analyzed. Significant improvement of corrected distance visual acuity was observed (logMAR): from 0.34 ± 0.23 to 0.08 ± 0.10 ( P < .001). The flattening effect was higher at the widest end than the narrowest end (-10.59 ± 2.59 diopters [D] vs -4.54 ± 1.30 D, P < .001), contributing to reduce the Symmetry Index Front from 9.06 ± 4.02 to 2.21 ± 3.81. Total higher-order aberrations (HOAs) reduced from 2.13 ± 0.94 μm to 1.77 ± 0.59 μm ( P < .001) with halving of the coma aberration from 1.84 ± 0.87 μm to 0.89 ± 0.50 μm ( P < .001).</p><p><strong>Conclusions: </strong>Implantation of AS INTRASEG in asymmetric keratoconus improves refractive, topographic, and aberrometric parameters. The progressive width of the base is efficient for reducing vertical asymmetry and HOAs of asymmetric keratoconus phenotype.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"468-475"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399267","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":"Physicochemical characteristics of a microfiltered 0.4% trypan blue solution when applied to the anterior capsule.","authors":"Richard Packard","doi":"10.1097/j.jcrs.0000000000001654","DOIUrl":"10.1097/j.jcrs.0000000000001654","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"531-533"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624867","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":"Reply : Comparison of complications and visual outcomes of combined phacovitrectomy vs stand-alone phacoemulsification: multicenter database study.","authors":"Mohammad Bakr, Abdelrahman M Elhusseiny, Ahmed B Sallam","doi":"10.1097/j.jcrs.0000000000001663","DOIUrl":"10.1097/j.jcrs.0000000000001663","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"538-539"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784364","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":"Reply : Intraocular lens rotational stability after cataract surgery with and without primary posterior continuous curvilinear capsulorhexis.","authors":"Yulong Huang, Mengting Yu, Wenjie Wu","doi":"10.1097/j.jcrs.0000000000001665","DOIUrl":"10.1097/j.jcrs.0000000000001665","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"536-537"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784367","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}