Journal of cataract and refractive surgery最新文献

{"title":"Comment on: Evaluating large language models vs residents in cataract and refractive surgery: comparative analysis using the American Academy of Ophthalmology Self-Assessment Program.","authors":"M Vijayasimha, M Srikanth, Logesh Babu","doi":"10.1097/j.jcrs.0000000000001999","DOIUrl":"10.1097/j.jcrs.0000000000001999","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"954-955"},"PeriodicalIF":3.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148294984","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 : Enhancing patient education in cataract surgery using a conversational artificial intelligence chatbot: a pilot randomized controlled trial.","authors":"Paul Cardon de Lichtbuer","doi":"10.1097/j.jcrs.0000000000002020","DOIUrl":"10.1097/j.jcrs.0000000000002020","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"950"},"PeriodicalIF":3.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148455862","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":"Erratum to: Costs associated with in-home postoperative eyedrop nursing care in Belgium: implications for a switch to dropless cataract surgery.","authors":"","doi":"10.1097/j.jcrs.0000000000002013","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000002013","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":"52 9","pages":"956"},"PeriodicalIF":3.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148865170","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":"Impact of pupil size on defocus curve, contrast sensitivity, and patient satisfaction in a diffractive, simultaneous vision intraocular lens.","authors":"Petra Davidova, Klemens Paul Kaiser, Tyll Jandewerth, Eva Hemkeppler, Myriam Böhm, Tom Struller, Thomas Kohnen","doi":"10.1097/j.jcrs.0000000000001912","DOIUrl":"10.1097/j.jcrs.0000000000001912","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the relationship between pupil size (PS) and defocus curve, contrast sensitivity (CS), spectacle independence, and patient satisfaction after implantation of a diffractive, simultaneous vision intraocular lens (SVL; AcrySof IQ PanOptix).</p><p><strong>Setting: </strong>Department of Ophthalmology, Goethe-University, Frankfurt, Germany.</p><p><strong>Design: </strong>Post hoc analysis of prospective studies.</p><p><strong>Methods: </strong>Patients were included 3 months after bilateral implantation of a diffractive SVL. Exclusion criteria included any ocular pathologies or previous ocular surgeries besides cataract or refractive lens exchange. Monocular defocus curve and infrared-based pupillometry (PupilX) in mesopic (MC) and photopic conditions (PC) and binocular visual acuity (VA) in various distances, CS, satisfaction in daily activities (driving day/night, TV, theater, home, PC, newspaper, cooking, and domestic work), and spectacle independence for distance, intermediate, and near were obtained. PS was analyzed continuously and categorized in small (≤4 mm [MC]; ≤2.5 mm [PC]), medium (>4 to 5 mm [MC]; >2.5 to 4 mm [PC]), and large (>5 mm [MC]; >4 mm [PC]).</p><p><strong>Results: </strong>52 patients (mean age 68 years) were included. 3 months postoperatively, PS was 4.24 (2.60 to 6.10) mm in MC and 3.38 (1.20 to 5.60) mm in PC. Besides correlations with extreme ends of the defocus curve, especially photopic PS weakly correlated with near-visual and partially with the intermediate range. Smaller photopic PS led partially to more near-spectacle independence. Photopic and mesopic PS moderately correlated with range of depth-of-field (RoF) ≤0.2 and 0.3 logMAR. Smaller pupils yielded better VA across the defocus curve, bigger RoF, and a trend of being more satisfied with newspaper reading. In the other parameters, PS was not significant.</p><p><strong>Conclusions: </strong>PS especially affected the near-visual range, near-spectacle independence, and RoF in a diffractive, SVL.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"843-849"},"PeriodicalIF":3.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146201745","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":"Ultrasound phacoemulsification: physical mechanisms, cavitation, and thermal effects.","authors":"Thomas Graf, Thomas Gisler, Silvio Emmenegger, Samuel Tanner, Rupert Menapace, Silvio Di Nardo","doi":"10.1097/j.jcrs.0000000000001990","DOIUrl":"10.1097/j.jcrs.0000000000001990","url":null,"abstract":"<p><strong>Purpose: </strong>To perform a comprehensive technical and biomedical analysis of ultrasound-induced effects during phacoemulsification cataract surgery (PCS) and assess the potential risks associated with ultrasound emulsification.</p><p><strong>Setting: </strong>Lucerne University of Applied Sciences and Arts, Horw, Switzerland.</p><p><strong>Design: </strong>Computational modeling and laboratory bench testing.</p><p><strong>Methods: </strong>Ultrasound wave propagation and intensity were simulated using the finite element method. The onset of cavitation was experimentally validated in a pressure chamber and observed using a high-speed camera. The thermal effects of ultrasound energy were estimated using established physical and thermal models and confirmed in a cuvette setup using thermistor probes.</p><p><strong>Results: </strong>At the distal end of the PCS tip, the ultrasound wave intensity reached 0.2 W/mm 2 , resulting in ocular tissue displacements in the anterior chamber below 2 μm. The temperature rise in the anterior chamber was less than 0.2°C/s. Both observations indicate negligible mechanical and thermal risks to ocular tissues. High-speed imaging confirmed that cavitation was confined to the PCS tip region. The efficiency of emulsification was maintained even under conditions that suppressed cavitation, including elevated ambient pressures and cavitation-inhibiting fluids. The results indicate that mechanical fragmentation by tip oscillation (\"jackhammer effect\") is the only relevant emulsification mechanism, whereas cavitation plays a negligible role. Acoustic streaming was observed during the ultrasound excitation without a phacoemulsification sleeve. During phacoemulsification, the sleeve suppresses acoustic streaming into the anterior chamber.</p><p><strong>Conclusions: </strong>These findings validate the safety of ultrasound-based PCS and confirm that lens fragmentation is primarily driven by the direct action of the oscillating tip.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"919-926"},"PeriodicalIF":3.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13506184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148264695","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":"Interferometric analysis of diffractive multifocal intraocular lenses.","authors":"Seung Pil Bang, Gi Hoon Lim, Seth Pantanelli","doi":"10.1097/j.jcrs.0000000000001934","DOIUrl":"10.1097/j.jcrs.0000000000001934","url":null,"abstract":"<p><strong>Purpose: </strong>To characterize the surface metrology of 4 multifocal intraocular lenses (IOLs) and simulate their behavior across pupil sizes.</p><p><strong>Setting: </strong>Physiological Optics & Imaging Laboratory, Daegu, South Korea.</p><p><strong>Design: </strong>Laboratory investigation.</p><p><strong>Methods: </strong>Four +20.0-diopter multifocal IOLs-Envy, PanOptix, Odyssey, and Synergy-were evaluated using a Mach-Zehnder interferometer (NIMO TEMPO) following ISO 11979-2 standards. Optical path difference maps generated wavefront profiles, diffractive step profiles, point spread functions, and modulation transfer functions (MTFs). Through-focus MTFs were obtained at 50 line pairs per millimeter under of 2.0 mm, 3.0 mm, and 4.5 mm pupil diameters.</p><p><strong>Results: </strong>Envy exhibited gradually decreasing diffractive step heights peripherally, favoring distance vision under mesopic conditions. PanOptix maintained uniform step heights, whereas Odyssey and Synergy exhibited larger diffractive steps with significant primary and secondary spherical aberrations, producing extended depth-of-field. Odyssey exhibited a distance-dominant energy distribution, while Synergy displayed a more balanced intermediate and near dispersal. Through-focus MTFs revealed stable trifocal peaks for Envy, a near-shifted tendency for PanOptix under small pupils, and far-dominant patterns for Odyssey and Synergy converging under larger pupils.</p><p><strong>Conclusions: </strong>Interferometric optical metrology revealed distinct through-focus optical profiles among contemporary diffractive multifocal IOLs, reflecting design-dependent differences in focal energy distribution across pupil sizes.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":"52 9","pages":"912-918"},"PeriodicalIF":3.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148865231","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 lenticular scanning quality and visual outcomes of keratorefractive lenticule extraction between VisuMax 800 and 500 systems.","authors":"Jiayi Hu, Yongle Bao, Zhanying Wang, Yiyang Wang, Junjie Yu, Yishan Qian, Xiaoying Wang, Xingtao Zhou, Jing Zhao","doi":"10.1097/j.jcrs.0000000000001927","DOIUrl":"10.1097/j.jcrs.0000000000001927","url":null,"abstract":"<p><strong>Purpose: </strong>To compare lenticular scanning quality and visual outcomes between keratorefractive lenticule extraction performed with VisuMax 800 and VisuMax 500 systems.</p><p><strong>Setting: </strong>Single ophthalmic surgical center.</p><p><strong>Design: </strong>Comparative, nonrandomized prospective study.</p><p><strong>Methods: </strong>Consecutive patients aged 18 to 46 years were recruited between November 2024 and March 2025. Opaque bubble layer (OBL) and lenticular surface regularity were measured using intraoperative imaging and scanning electron microscopy. Visual acuity and refractive error were assessed at 1 month, 3 months, and 6 months postoperatively.</p><p><strong>Results: </strong>A total of 140 participants (140 eyes) were included (70 per group). The VisuMax 800 group had significantly lower OBL proportions (3.97% ± 2.58% vs 2.44% ± 0.52%, P = .013) and better lenticular surface regularity scores (11.85 ± 2.56 vs 14.98 ± 4.05, P = .048). In the VisuMax 800 group, higher flat K and steep K correlated with larger OBL areas (β = 0.412, P < .001; β = 0.358, P = .002) and larger optical zones were associated with better lenticular surface regularity (β = 0.535, P = .038). No statistically significant difference was observed in the visual and refractive outcomes between the 2 groups at the 6-month postoperative follow-up ( P > .05). In the VisuMax 800 group, smaller OBL proportions were associated with better visual acuity at 1 and 3 months postoperatively (β < 0, P < .05), while better lenticular surface regularity was correlated with lower astigmatism at 3 months postoperatively (β = -0.574, P = .002).</p><p><strong>Conclusions: </strong>Although technical advancements of the VisuMax 800 may optimize intraoperative lenticular scanning quality, the VisuMax 800 and 500 systems yield comparable visual outcomes.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"850-858"},"PeriodicalIF":3.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13528842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147306190","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":"ESCRS guideline for cataract surgery 2024: executive summary.","authors":"Joukje C Wanten, Victoria Till, Oliver Findl, Béatrice Cochener-Lamard, Thomas Kohnen, Rudy M M A Nuijts","doi":"10.1097/j.jcrs.0000000000002012","DOIUrl":"10.1097/j.jcrs.0000000000002012","url":null,"abstract":"<p><p>Cataract is a leading cause of visual impairment globally, with surgery as the only effective treatment. Management involves a care pathway, including screening, patient selection, preoperative assessment, surgery, and postoperative care. The ESCRS developed evidence-based guidelines to aid decision-making for patients, clinicians, and stakeholders. A multidisciplinary panel, supported by methodologists using the Grading of Recommendations, Assessment, Development, and Evaluations approach, addressed 32 key clinical questions. Recommendations include intracameral antibiotics to prevent endophthalmitis, topical anesthesia as the preferred technique, and toric intraocular lenses for corneal astigmatism ≥1.0 diopter. Conventional and femtosecond laser-assisted surgeries are comparably safe and effective. Nonsteroidal anti-inflammatory drug eyedrops, alone or with corticosteroids, are recommended to reduce inflammation and prevent cystoid macular edema. Additional guidance includes shared decision-making for lens selection, safe use of immediate sequential bilateral cataract surgery, and potential of remote postoperative care to enhance healthcare efficiency. These guidelines aim to improve outcomes, patient experience, and care delivery.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":"52 9","pages":"e1-e13"},"PeriodicalIF":3.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13528843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148865199","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":"Comment on: Global consensus on the evidence-based functional classification of simultaneous vision IOLs.","authors":"Antonio Calossi, Paolo Vinciguerra","doi":"10.1097/j.jcrs.0000000000002001","DOIUrl":"10.1097/j.jcrs.0000000000002001","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"951"},"PeriodicalIF":3.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148264585","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 : Global consensus on the evidence-based functional classification of simultaneous vision IOLs.","authors":"Joaquín Fernández, Douglas D Koch, Grahan D Barrett, Newton Andrade, Filomena Ribeiro","doi":"10.1097/j.jcrs.0000000000002003","DOIUrl":"10.1097/j.jcrs.0000000000002003","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"951-952"},"PeriodicalIF":3.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148271717","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}