Journal of cataract and refractive surgery最新文献_第2页

Comment on paper: "Depth of focus as a function of spherical aberration using adaptive optics in pseudophakic subjects" by Tabernero et al. 对论文的评论：Tabernero等人写的“使用自适应光学技术在伪焦对象中作为球差函数的聚焦深度”。

IF 2.6 3区医学

Journal of cataract and refractive surgery Pub Date : 2025-06-11 DOI: 10.1097/j.jcrs.0000000000001705

Li Wang, Douglas D Koch

引用次数: 0

Reply: "Depth of focus as a function of spherical aberration using adaptive optics in pseudophakic subjects". 回复：“使用自适应光学在伪视对象中作为球差函数的焦点深度”。

IF 2.6 3区医学

Journal of cataract and refractive surgery Pub Date : 2025-06-10 DOI: 10.1097/j.jcrs.0000000000001706

Juan Tabernero, Carles Otero, John Kidd, Laura Zahiño Od, Ana Noia, Jose Luis Güell, Pablo Artal, Shahina Pardhan

引用次数: 0

Lens Morphology in Cataract Patients with Zonula Dialysis by Anterior Segment Optical Coherence Tomography. 前段光学相干断层扫描对白内障带透析患者晶状体形态的影响。

IF 2.6 3区医学

Journal of cataract and refractive surgery Pub Date : 2025-06-10 DOI: 10.1097/j.jcrs.0000000000001709

Hao Yuan, Xiaodan Jiang, Ziyuan Liu, Xuemin Li

{"title":"Lens Morphology in Cataract Patients with Zonula Dialysis by Anterior Segment Optical Coherence Tomography.","authors":"Hao Yuan, Xiaodan Jiang, Ziyuan Liu, Xuemin Li","doi":"10.1097/j.jcrs.0000000000001709","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001709","url":null,"abstract":"Purpose: To investigate the morphologic characteristics of lens in cataract patients with zonule dialysis (ZD) before and after cycloplegia by anterior segment optical coherence tomography (AS-OCT).Setting: Peking University Third Hospital, Beijing, China.Design: Cross-sectional observational study.Methods: 56 eyes from 56 participants who would undergo cataract operations were included, with 29 eyes of normal controls and 27 eyes of zonule dialysis patients. Lens morphologic parameters were then evaluated by AS-OCT, including anterior chamber depth (ACD), lens thickness (LT), lens diameter, lens vault, anterior curvature radius, posterior curvature radius, decentration and tilt of lens. After participants were treated with three-time tropicamide solution, AS-OCT was repeated to acquire the post-cycloplegia results. SPSS Software 22.0 was used for statistical analysis.Results: The comparison of basic lens morphologic parameters without cycloplegia found only anterior curvature (P=0.039) showed significant differences between normal and ZD groups. AS-OCT measured after 30-min cycloplegia treatment showed significantly increased ACD, lens diameter, posterior curvature and decreased vault in both groups, decreased lens thickness in normal group, increased anterior curvature and decreased lens decentration in ZD group (all P<0.05). The logistic regression model showed ZD group had greater alterations of ACD (P=0.014), anterior curvature (P=0.009) and decentration (P=0.031) after cycloplegia treatment when compared with the normal group.Conclusions: Lens in ZD patients was characterized by steeper anterior curvature, and grater alterations of ACD, anterior curvature and decentration after cycloplegia. The comparison of lens morphologic parameters before and after cycloplegia might be the potential method to evaluate the stability of zonule.","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309962","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}

引用次数: 0

Efficacy and Safety Evaluation of a New Full Visual Range versus Monofocal IOL in Cataract Patients: A Randomized, Controlled Canadian Clinical Trial. 一项加拿大随机对照临床试验：新型全视距人工晶状体与单焦点人工晶状体在白内障患者中的疗效和安全性评价

IF 2.6 3区医学

Journal of cataract and refractive surgery Pub Date : 2025-06-10 DOI: 10.1097/j.jcrs.0000000000001714

Adam Muzychuk, Paul Harasymowycz

{"title":"Efficacy and Safety Evaluation of a New Full Visual Range versus Monofocal IOL in Cataract Patients: A Randomized, Controlled Canadian Clinical Trial.","authors":"Adam Muzychuk, Paul Harasymowycz","doi":"10.1097/j.jcrs.0000000000001714","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001714","url":null,"abstract":"Purpose: To compare the visual performance and patient-reported outcomes following bilateral implantation of a novel full visual range IOL or its monofocal version.Setting: 9 sites in Canada.Design: Prospective, multicenter, randomized, double-masked, controlled study.Methods: This study included patients who underwent bilateral implantation of either a full visual range (FVR) enVista Envy (Bausch+Lomb) or monofocal MX60E (Bausch+Lomb) IOL. Postoperative assessments included visual acuities, defocus curves, contrast sensitivity, and patient-reported outcomes using Quality of vision (QoV) and near activity visual questionnaire (NAVQ).Results: The FVR IOL was non-inferior to the control monofocal IOL for monocular UDVA and statistically superior to the monofocal IOL for monocular UIVA and UNVA. Binocular defocus curves showed a range of vision of ∼4.0 D at 0.2 logMAR or better in the FVR group. In the intermediate and near range (-1.5 to -2.5 D), the FVR group demonstrated a plateau at ∼0.1 logMAR (20/25), whereas in the monofocal group, visual acuity decreased to 0.27 logMAR (20/37) at -1.50 D defocus and to 0.48 logMAR (20/60) at -2.50 D defocus. Postoperatively, 92.7% (102/110) of the FVR patients were satisfied with their near vision, and 91.7% (99/108) of them did not require spectacles to do near-vision tasks, even for a prolonged duration.Conclusion: The FVR group exhibited a continuous range of vision from distance to near. Postoperatively, more than 90% of FVR patients were satisfied with their near vision and had no difficulty doing near vision tasks while being spectacle-free.","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258160","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}

引用次数: 0

Biocompatibility Evaluation of a New Material for Intraocular Lenses. 新型人工晶状体材料的生物相容性评价。

IF 2.6 3区医学

Journal of cataract and refractive surgery Pub Date : 2025-06-09 DOI: 10.1097/j.jcrs.0000000000001708

Ayat Qassoom, Guy Kleinmann

{"title":"Biocompatibility Evaluation of a New Material for Intraocular Lenses.","authors":"Ayat Qassoom, Guy Kleinmann","doi":"10.1097/j.jcrs.0000000000001708","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001708","url":null,"abstract":"Purpose: To evaluate the uveal and capsular biocompatibility of a new material for intraocular lens (IOL) fabrication, manufactured entirely from a crosslinked polyisobutylene (xPIB) polymer, in comparison to a commercial reference IOL in a rabbit model.Setting: Envigo CRS Israel Limited, Weizmann Science Park, Ness-Ziona, Israel.Design: Prospective, comparative, randomized animal study.Methods: Bilateral phacoemulsification was performed in 10 rabbits; 1 eye was implanted with the test IOL, the xPIB IOL, and the other eye was implanted with a reference IOL. Slit-lamp examinations were performed at postoperative weeks 1 and 6. The rabbits were euthanized at six weeks postoperatively, and the eyes were enucleated. After gross examination with the Miyake-Apple view, all eyes were sectioned and processed for histopathologic examination.Results: No difference was found in the uveal and capsular biocompatibility of the study and control IOLs in the biomicroscopy, Miyake-Apple posterior view, and histopathologic examination. A trend toward lower incidence and mean group severity of Soemmerring's ring was found in the test IOL group.Conclusions: The xPIB IOL was found non-inferior to the reference IOL. Both groups demonstrated the typical, expected ocular reactions of PCO and Soemmerring's ring after IOL implantation in rabbit eyes.","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258159","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}

引用次数: 0

Comparison of IOL formula accuracy for eyes with prior scleral buckle surgery. 既往巩膜扣手术眼人工晶状体配方准确性比较。

IF 2.6 3区医学

Journal of cataract and refractive surgery Pub Date : 2025-06-09 DOI: 10.1097/j.jcrs.0000000000001715

Alan W Kong, Michelle J Jeon, Shawn R Lin, John D Bartlett, Colin A McCannel, Kenneth J Hoffer, Giacomo Savini, Mitra Nejad

{"title":"Comparison of IOL formula accuracy for eyes with prior scleral buckle surgery.","authors":"Alan W Kong, Michelle J Jeon, Shawn R Lin, John D Bartlett, Colin A McCannel, Kenneth J Hoffer, Giacomo Savini, Mitra Nejad","doi":"10.1097/j.jcrs.0000000000001715","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001715","url":null,"abstract":"Purpose: To compare intraocular lens (IOL) formula prediction accuracy for patients with previous scleral buckling surgery.Setting: Single academic center in Los Angeles, California.Design: Retrospective study.Methods: Patients who had cataract extraction following scleral buckle surgery from 2014 to 2024 were included. The spherical equivalent prediction error (SEQ-PE) from Barrett Universal II (BUII), Hoffer QST, Holladay 1, Kane, RBF 3.0, and SRK/T was evaluated. The Wang-Koch adjusted (WKA) axial lengths were used for eyes >25.0 mm for the Holladay 1 and SRK/T formulas. Analysis was done with Eyetemis, an online software designed to compare the accuracy, precision, and trueness of the SEQ-PE.Results: 79 eyes from 77 patients were included. The 6 formulas showed similar accuracy, with no statistically significant differences for pairwise comparisons of the absolute SEQ-PE, which ranged between 0.33 D (±0.52 D) for the Holladay 1 and 0.42 D (±0.56 D) for the RBF 3.0 formulas, and for pairwise comparisons of the precision of SEQ-PE, except for the comparison between BUII and Hoffer QST. There was no significant difference in the absolute SEQ-PE within ±0.25 D, ±0.50 D, ±0.75 D, and ±1.00 D. Comparing the trueness of the SEQ-PE, BUII and Hoffer QST were hyperopic while Holladay 1 and SRK/T were myopic.Conclusions: The formulas compared had similar accuracy of the absolute and precision SEQ-PE for eyes with scleral buckles. There was variability in the trueness of the 6 formulas, however. Therefore, surgeons should consider these trends for IOL selection in eyes with scleral buckles.","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266330","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}

引用次数: 0

Outcomes of Intralenticular lens aspiration with glued Scleral fixated intraocular lens for Ectopia lentis in Marfan's Syndrome. 马凡氏综合征晶状体异位的人工晶状体吸出术及巩膜固定人工晶状体的疗效。

IF 2.6 3区医学

Journal of cataract and refractive surgery Pub Date : 2025-06-09 DOI: 10.1097/j.jcrs.0000000000001710

Manasi Tripathi, Manpreet Kaur, Rajesh Sinha, Jeewan S Titiyal

{"title":"Outcomes of Intralenticular lens aspiration with glued Scleral fixated intraocular lens for Ectopia lentis in Marfan's Syndrome.","authors":"Manasi Tripathi, Manpreet Kaur, Rajesh Sinha, Jeewan S Titiyal","doi":"10.1097/j.jcrs.0000000000001710","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001710","url":null,"abstract":"Purpose: To evaluate visual and anatomical outcomes of intralenticular lens aspiration (ILLA) with fibrin-glue assisted intrascleral haptic fixation of intraocular lens (glued-SFIOL) in Marfan syndrome patients with Ectopia lentis.Setting: Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi.Design: Ambispective observational case series.Methods: Patients with Marfan syndrome and ectopia lentis who underwent ILLA with glued SFIOL from August 2021 to September 2022 were retrospectively enrolled in the study. Intraoperative surgical details were recorded and patients were prospectively followed up. Primary outcome measure was post-operative corrected distance visual acuity (CDVA) at 12 months. Secondary outcome measures were postoperative complications and residual refractive error at 12 months.Results: Forty-four eyes of 25 patients were enrolled. Mean age of patients was 12.52±6.6 years (14 males, 11 females). CDVA improved from 1.08±0.53 LogMAR pre-operatively to 0.68±0.49 LogMAR on POD-1 (p=0.012), 0.3±0.2 at 3 months (p=0.004) and 0.14±0.18 at 12 months (p=0.001). Moderate negative correlation was observed between age of presentation and post-operative CDVA at 12 months (r=-0.36, p=0.017). Group 2 (Age >10 years) had better CDVA at 3 (p=0.016) and 12 months (p=0.033) than Group 1 (Age ≤10 years). Post-operative complications included vitreous hemorrhage (11.36%), hypotony (4.34%), pupillary capture of IOL (6.5%), haptic extrusion through sclera (2.27%) and posterior dislocation of IOL (2.27%). No eye had clinically apparent pseudophakodonesis.Conclusion: ILLA with glued-SFIOL is a promising surgical technique for managing ectopia lentis with Marfan's syndrome. Younger age of presentation is associated with poorer postoperative visual outcomes.","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266332","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}

引用次数: 0

Short-term Change in Haptic position of Implantable Collamer Lenses and its correlation with the variation of vault. 可植入锥体晶体触觉位置的短期变化及其与拱顶变化的关系。

IF 2.6 3区医学

Journal of cataract and refractive surgery Pub Date : 2025-06-05 DOI: 10.1097/j.jcrs.0000000000001702

Jing Yang, Min Li, Xingtao Zhou, Xiaoying Wang, Hongyu Kong, Yishan Qian

{"title":"Short-term Change in Haptic position of Implantable Collamer Lenses and its correlation with the variation of vault.","authors":"Jing Yang, Min Li, Xingtao Zhou, Xiaoying Wang, Hongyu Kong, Yishan Qian","doi":"10.1097/j.jcrs.0000000000001702","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001702","url":null,"abstract":"Purpose: To examine changes in the haptic position of the implantable collamer lens (ICL) within the postoperative3 months and its correlation with vault variation.Setting: Eye and ENT Hospital, Fudan University, Shanghai, China.Design: Prospective non-randomized study.Methods: This study included 58 right eyes of 58 patients who underwent ICL implantation for the correction of myopia or myopic astigmatism. The position of the ICL haptic was measured using ultrasound biomicroscopy (UBM) at postoperative 1 month (P1M) and 3 months (P3M) and was classified into three types: haptic in the ciliary sulcus (ICS), haptic in the ciliary body (ICB), and haptic under the ciliary body (UCB).Results: Among haptics classified as ICS at P1M (n=131), 120 remained ICS (91.60%), 9 became ICB (6.87%), and 2 became UCB (1.53%) at P3M. Among haptics classified as ICB at P1M (n=66), 44 remained ICB (66.67%), 17 became ICS (25.76%), and 5 became UCB (7.58%). Among haptics classified as UCB at P1M (n=35), 26 remained UCB (74.29%) and 9 became ICB (25.71%). The maximum ciliary body thickness (CBTmax, P=0.010), iris thickness at 500 μm (IT500, P=0.029), and trabecular-ciliary angle (TCA, P=0.045) were associated with ΔIRHP3M-P1M (distance between the iris root and the tip of haptic, P3M-P1M). Anterior chamber depth (ACD, P=0.031) and ΔvaultP1M-P1D (P=0.005) correlated significantly with Δvault P3M-P1M.Conclusions: Haptics inserted in the ciliary body are more susceptible to positional shifts. Increased IRH is more likely to occur in eyes with a thinner ciliary body, thinner iris, and wider TCA.","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234242","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}

引用次数: 0

A quantitative assessment of the vault optimization along with the ocular bio-parameters and Implantable Collamer Lens sizing nomograms. 定量评估拱顶优化以及眼生物参数和可植入Collamer Lens尺寸图。

IF 2.6 3区医学

Journal of cataract and refractive surgery Pub Date : 2025-06-04 DOI: 10.1097/j.jcrs.0000000000001700

Lan Bifei, Cai Li, Xin Danli, Yao Hongyan, Wu Shanjun, Cheng Lingyun

{"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":"Purpose: To quantify the effect of the significant ocular bio-parameters and the nomograms for an optimal Implantable Collamer Lens (ICL) vault.Setting: Regional eye hospital.Design: Retrospective.Methods: 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).Results: 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.Conclusions: 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.","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}

引用次数: 0

Severe Macular Injury from Posterior Capsulotomies Performed using Selective Laser Trabeculoplasty (SLT) Laser Settings. 使用选择性激光小梁成形术（SLT）激光设置后囊膜切除术后的严重黄斑损伤。

IF 2.6 3区医学

Journal of cataract and refractive surgery Pub Date : 2025-06-04 DOI: 10.1097/j.jcrs.0000000000001698

Jay M Jaber, Lisa Koenig, Kaylie Chen, Kyle Kovacs, Sarah Van Tassel

引用次数: 0