Journal of cataract and refractive surgery最新文献

{"title":"Reply : Patient-reported outcomes measure after cataract surgery using the Catquest-9SF questionnaire in a U.S. Veterans Health Administration population.","authors":"Justin Flood, Roshni Koul, Mats Lundström, Jhansi Raju","doi":"10.1097/j.jcrs.0000000000002052","DOIUrl":"10.1097/j.jcrs.0000000000002052","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148919949","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":"Combining Small Aperture Approach and Toric Correction for Irregular Astigmatism Management.","authors":"Hyeck-Soo Son, Asu Rayamajhi, Ava Niknahad, Ramin Khoramnia, Gerd U Auffarth, Victor A Augustin, Maximilian Friedrich, Grzegorz Łabuz","doi":"10.1097/j.jcrs.0000000000002059","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000002059","url":null,"abstract":"<p><strong>Purpose: </strong>Irregular astigmatism poses a challenge in cataract surgery due to its complex geometry and associated higher-order aberrations (HOAs), which limit the efficacy of conventional toric intraocular lenses (IOLs). IOLs featuring a small-aperture have shown promise in managing such cases through the \"pinhole effect,\" yet they do not correct the underlying astigmatic power. This study investigates the potential of a hybrid IOL design featuring both small-aperture and toric elements to address these limitations.</p><p><strong>Setting: </strong>David J. Apple Laboratory for Ocular Pathology.</p><p><strong>Design: </strong>Experimental study.</p><p><strong>Methods: </strong>A retrospective analysis of 22 eyes with irregular astigmatism was conducted using semi-personalized eye models derived from Pentacam (Oculus) tomography data. Simulations were performed in OpticStudio to evaluate three IOL systems: a toric IOL, a small-aperture, and a combined small-aperture+toric IOL. Image quality was assessed using Strehl Ratio (SR) and RMS error. Landolt C simulations and correlation analyses were also performed.</p><p><strong>Results: </strong>The hybrid IOL significantly outperformed the toric and small-aperture IOLs alone, achieving mean SR of 0.80±0.17 (vs. 0.10±0.07 and 0.20±0.19, respectively, p<0.001) and the lowest RMS error (0.07 µm, p<0.001). Simulations demonstrated superior visual quality and less sensitivity to corneal asymmetry. R2 analyses confirmed a strong association between corneal astigmatism and improved optical quality in the combined model.</p><p><strong>Conclusions: </strong>Integrating a toric correction within a small-aperture optic yields superior optical performance in irregular astigmatism simulations. In clinical practice, combining sulcus-fixated pinhole implants with toric posterior-chamber IOLs or sulcus-fixated toric lenses with a small-aperture posterior-chamber IOL may achieve better outcomes in complex corneal profiles.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148919894","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":"Scoping Review of Cataract Surgery Sterility: Data Gaps Linking Sustainability and Clinical Impact.","authors":"Zorana Vujadinovic, Abdullah Al-Ani, Brooklyn Rawlyk, Robert T Moore, Michael T Kryshtalskyj, Tara Klassen, Caitlin McClurg, Patrick Gooi, Mili Roy, Paul Huang","doi":"10.1097/j.jcrs.0000000000002058","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000002058","url":null,"abstract":"<p><strong>Background: </strong>Sterility practices in the cataract operating room (OR) are adopted to reduce the risk of complications. However, their clinical effectiveness remains uncertain, while their contribution to OR waste and carbon emissions is well established.</p><p><strong>Objectives: </strong>To conduct a scoping review examining the global diversity, clinical evidence, and environmental impact of antiseptics, drapes, gloves, masks, and gowns in adult cataract surgery.</p><p><strong>Eligibility criteria: </strong>Reports in the English language on perioperative sterility practice patterns, clinical efficacy related to infection or inflammation, or environmental impacts of adult cataract surgery without time restrictions.</p><p><strong>Sources of evidence: </strong>Searches were conducted across Embase, MEDLINE, Scopus, Web of Science, Cochrane Library, CINAHL, and ProQuest Dissertations & Theses Global.</p><p><strong>Charting methods: </strong>Two reviewers independently screened records, and one investigator extracted data using a pilot-tested form.</p><p><strong>Results: </strong>Of 3,360 records screened, 148 articles met the inclusion criteria. There were 83 (56%) experimental studies, 10 (7%) case reports/series, 24 (16%) surveys, 25 (17%) opinion-based articles or guidelines, and 6 (4%) economic/environmental evaluations. A meta-analysis of 1,608 eyes revealed that conjunctival povidone-iodine significantly reduced bacterial load on the ocular surface, potentially lowering the risk of endophthalmitis. Mask use was associated with a possible protective effect. In contrast, draping, gloving, and gowning were primarily discussed in opinion-based literature, comprising 40%, 38%, and 46% of reports on each practice, respectively.</p><p><strong>Conclusion: </strong>Conjunctival povidone-iodine and masks are supported by relatively more substantial evidence in cataract surgery. In contrast, drapes, gloves, and gowns lack robust clinical data and may contribute to avoidable environmental burden.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148919912","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":"Comment on: Light adjustable lens implantation with cataract surgery in eyes with macular pathology.","authors":"Tara Rani, Malhar Vyas, Rachna, Labishetty Sai Charan, M Vijayasimha","doi":"10.1097/j.jcrs.0000000000002049","DOIUrl":"10.1097/j.jcrs.0000000000002049","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148919892","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":"Prospective Evaluation Of Visual Performance Of A Novel Partial Depth Of Field Intraocular Lens Using A Monovision Strategy.","authors":"Victor Danzinger, Marcus Lisy, Daniel Schartmüller, Nikolaus Mahnert, Markus Schranz, Claudette Abela-Formanek, Christina Leydolt","doi":"10.1097/j.jcrs.0000000000002056","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000002056","url":null,"abstract":"<p><strong>Purpose: </strong>To assess visual and patient-reported outcomes of a partial-depth of field (DOFi) intraocular lens (IOL) using a monovision strategy.</p><p><strong>Setting: </strong>Department of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.</p><p><strong>Design: </strong>Single-center, prospective, clinical trial.</p><p><strong>Methods: </strong>Forty-nine patients underwent bilateral cataract surgery, implantation of the partial-DOFi Vivinex ImpressTM XY1-EM IOL (Hoya Surgical Optics), and returned for final follow-up. Follow-up occurred between 30 and 90 days post-operatively, at which manifest refractive spherical equivalent (MRSE), binocular uncorrected visual acuities, defocus curve, corneal wavefront aberrometry, pupil size, IOL tilt and decentration, near stereopsis, photic phenomena and the Visual Functioning-7 questionnaire were evaluated.</p><p><strong>Results: </strong>Postoperative MRSE was -0.14±0.26D and -0.84±0.44D in dominant and non-dominant eyes, respectively. Binocular UDVA and UIVA (at both 80cm and 66cm) reached 0.05 logMAR or better, with a mean UNVA of 0.20±0.11 logMAR. The defocus curve confirmed a broad visual function (≤0.2 logMAR) across a range from +0.50D to -2.22D. Intermediate vision was significantly influenced by photopic pupil diameter and corneal spherical aberration (p<.05). Low levels of IOL tilt, decentration, and corneal HOAs were observed. Patients reported high visual function (VF-7) and normal stereopsis, without disturbing photic phenomena.</p><p><strong>Conclusion: </strong>Utilizing a novel partial-DOFi IOL in a monovision protocol yielded excellent distance to intermediate vision as well as functional near visual acuity. These results, supported by high subjective visual function and the lack of bothersome photic phenomena, suggest the potential of this strategy for extending the range of vision.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148919907","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":"Comment on \"Patient-Reported Outcomes Measure After Cataract Surgery Using the Catquest-9SF Questionnaire in a U.S. Veterans Health Administration Population\".","authors":"P Uma Bhagavathy, Nancy Elizabeth Samuel, Priya Santharam","doi":"10.1097/j.jcrs.0000000000002051","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000002051","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148919951","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":"Influence of Astigmatism Magnitude and Axis on the Selection of Non-Toric versus Low-Powered Trifocal Toric Intraocular Lenses in Presbyopic Refractive Lens Exchange.","authors":"Luis F Brenner, Arthur B van den Berg, Carolina P B Gracitelli, Roberta Matschinske van den Berg, Karolinne Maia Rocha, Wallace Chamon","doi":"10.1097/j.jcrs.0000000000002054","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000002054","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the influence of preoperative astigmatism magnitude and axis on the selection between non-toric and low-powered trifocal toric intraocular lenses (IOLs) and their comparative refractive outcomes.</p><p><strong>Setting: </strong>Memira by Bergman Clinics, Norway; HO Londrina - Hospital de Olhos, Brazil.</p><p><strong>Design: </strong>Multicenter, retrospective, interventional cohort study.</p><p><strong>Methods: </strong>Consecutive eyes designated for non-toric (T00) or low-powered toric (T20) trifocal IOLs based exclusively on Barrett Toric Calculator recommendations were analyzed. Generalized Estimating Equations (GEE) were utilized to adjust for inter-eye correlation. Outcomes included preoperative corneal astigmatism (magnitude and axis), estimated residual astigmatism, and postoperative manifest astigmatism, evaluated with double-angle and linear distribution plots.</p><p><strong>Results: </strong>The cohort comprised 1,628 eyes (T00: 786; T20: 842). The calculator's recommendation between T00 and T20 varied continuously based on both preoperative magnitude and axis. Despite the T20 group having significantly higher preoperative corneal astigmatism (P<0.001), postoperative manifest astigmatism was statistically equivalent between groups (T00: 0.26±0.26 D vs. T20: 0.24±0.26 D; P=0.634). No significant differences were observed in visual acuity, manifest refraction spherical equivalent, safety, or efficacy indices (P>0.05). However, the T00 group demonstrated higher estimated than achieved postoperative astigmatism (0.33±0.16 D vs. 0.26±0.26 D), whereas the T20 group showed lower estimated than achieved astigmatism (0.10±0.08 D vs. 0.24±0.26 D).</p><p><strong>Conclusion: </strong>The decision between a non-toric versus a low-powered toric IOL relies on an individualized interdependence between magnitude and axis rather than a fixed magnitude-based cutoff. This individualized, calculator-driven approach was associated with comparable postoperative astigmatism between groups, regardless of their baseline differences.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148919866","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":"Dropless cataract surgery using intraoperative subconjunctival triamcinolone: a multicentre comparative analysis of 22,000 eyes.","authors":"Alastair Stuart, Nabila Jones, Clare O'Donnell, Steven Naylor","doi":"10.1097/j.jcrs.0000000000002053","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000002053","url":null,"abstract":"<p><strong>Purpose: </strong>To compare postoperative inflammatory and visual outcomes between dropless cataract surgery using intraoperative subconjunctival triamcinolone and conventional postoperative topical steroid therapy.</p><p><strong>Setting: </strong>Optegra UK, a private eye hospital providing NHS-funded cataract surgery across 17 centres.</p><p><strong>Design: </strong>Non-randomised retrospective multicentre audit.</p><p><strong>Methods: </strong>Two postoperative regimens were compared: a dropless pathway incorporating intraoperative subconjunctival triamcinolone acetonide (Kenalog®) 40 mg administered as a visible subconjunctival depot using a 30-gauge needle, and conventional postoperative topical steroid therapy. Patients with glaucoma and young high myopes (<50 years of age with axial length ≥27 mm) were excluded. Primary outcomes assessed were cystoid macular oedema (CMO), postoperative uveitis, and intraocular pressure (IOP) elevation. Eyes with a minimum of 12 weeks (84 days) of follow-up were included. IOP analysis was restricted to eyes with ≥14 days of postoperative follow-up.</p><p><strong>Results: </strong>A total of 34,846 eyes were included (17,423 per group). Statistical significance was defined p value <0.05. CMO occurred in 3.3% of the topical group and 3.1% of the dropless group (RR 0.95, p=0.411). Postoperative uveitis occurred in 2.5% and 2.4% of eyes, respectively (RR 0.95, p=0.508). Steroid-related IOP elevation occurred in 0.6% in both groups (RR 1.00, p=1.00). Visual acuity and refractive outcomes were similar between groups.</p><p><strong>Conclusions: </strong>Dropless cataract surgery was associated with comparable rates of CMO, uveitis, and steroid-related IOP elevation compared with topical steroid regimens, with similar visual outcomes and no increase in adverse safety events. These findings support dropless pathways as an effective and safe alternative to conventional postoperative drop regimens.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148919921","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 the functional defocus curve between eyes with diffractive multifocal intraocular lenses and age-stratified phakic eyes.","authors":"Ken Hayashi, Motoaki Yoshida, Shunsuke Hayashi, Shin-Ichi Manabe","doi":"10.1097/j.jcrs.0000000000002057","DOIUrl":"10.1097/j.jcrs.0000000000002057","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the functional defocus curve between eyes with diffractive multifocal intraocular lenses (DMIOLs) and age-stratified phakic eyes with clear lenses.</p><p><strong>Setting: </strong>Hayashi Eye Hospital, Fukuoka, Japan.</p><p><strong>Design: </strong>Prospective comparative study.</p><p><strong>Methods: </strong>85 eyes of 85 patients aged 60 years or older with DMIOLs (Alcon PanOptix, n = 40; Johnson & Johnson Odyssey, n = 45) and 380 phakic eyes of patients in their 30s, 40s, 50s, and 60s were enrolled. Corrected distance visual acuity (CDVA) at various simulated distances was measured at 3 months postoperatively using an all-distance vision tester and compared between groups.</p><p><strong>Results: </strong>Mean corrected distance VA at most distances was significantly worse in the DMIOL groups than in phakic patients in their 30s ( P ≤ .002). Compared with phakic patients in their 40s, the PanOptix group had significantly better corrected distance near VA (CDNVA) at 0.3 m and intermediate VA (CDIVA) at 0.5 m, but worse CDIVA at 1.0 m, whereas the Odyssey group had better CDNVA but worse CDIVA at 0.7 and 1.0 m ( P ≤ .002). Mean CDNVA and CDIVAs at 0.5 and 0.7 m were significantly better in the DMIOL groups than in phakic patients in their 50s and 60s ( P < .001), except for CDIVA at 0.7 m in patients in their 50s.</p><p><strong>Conclusions: </strong>The functional defocus curve in eyes with DMIOLs was comparable with that in phakic eyes of patients in their 40s and superior to that in phakic eyes of patients in their 50s and 60s, indicating that DMIOLs may restore the functional range of vision to that of phakic patients in their 40s.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148919898","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":"Safety and performance of a new cohesive ophthalmic viscosurgical device: multicenter, partially comparative randomized study.","authors":"Carmen Vogt, Maria Xeroudaki, Alexander Fridberg, Björn Johansson","doi":"10.1097/j.jcrs.0000000000002048","DOIUrl":"10.1097/j.jcrs.0000000000002048","url":null,"abstract":"<p><strong>Purpose: </strong>To confirm the clinical safety and overall performance of Minivisc Plus, a cohesive ophthalmic viscosurgical device (OVD).</p><p><strong>Setting: </strong>Multicenter study conducted at 6 sites in Sweden and Belgium.</p><p><strong>Design: </strong>Prospective, randomized, partially comparative, multicenter postmarket study.</p><p><strong>Methods: </strong>Participants requiring anterior segment ophthalmic surgery were eligible for inclusion. The study consisted of 2 phases. In phase A (90-day follow-up), a randomized comparison was conducted between Minivisc Plus and Healon GV Pro. In phase B, eyes were treated with Minivisc Plus and followed for 30 days. Primary endpoint was incidence of intraocular pressure (IOP) ≥30 mm Hg at 7 days after operation. Secondary endpoints included postoperative inflammation, corneal endothelial cell density (ECD), surgeon-reported device performance, and the incidence of adverse events (AEs) and device deficiencies.</p><p><strong>Results: </strong>In total, 163 eyes were included in the study: 54 eyes in phase A (25 eyes treated with Minivisc Plus and 29 eyes treated with Healon GV Pro) and 109 eyes in phase B. All surgical procedures were phacoemulsification cataract surgeries, apart from 2 cases (both in phase B), which were glaucoma surgeries. 2 eyes (1.5%) treated with Minivisc Plus exhibited intraocular pressure (IOP) ≥30 mm Hg at postoperative day 7. Inflammation grading, ECD loss, and the incidence of AEs were comparable between the study substances throughout the 90-day follow-up period. Surgeon-reported assessments indicated comparable device performance between the 2 OVDs.</p><p><strong>Conclusions: </strong>This study demonstrates the safety of Minivisc Plus regarding IOP spikes, postoperative ocular inflammation, and ECD loss, with clinical performance comparable with that of Healon GV PRO.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148880483","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}