Journal of cataract and refractive surgery最新文献_第3页

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

New software program to improve biometry measurements obtained by an optical low-coherence reflectometry biometer. 新的软件程序，以提高生物测量获得的光学低相干反射生物计。

IF 2.6 3区医学

Journal of cataract and refractive surgery Pub Date : 2025-06-01 DOI: 10.1097/j.jcrs.0000000000001630

David L Cooke, Tim L Cooke, Raj Patel, Michael T Heath, Mason Gardiner, David A Murphy, Kamran M Riaz

{"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":"Purpose: To evaluate a new software program (SpikeFinder) that improves quality of measurements obtained by optical low-coherence reflectometry (OLCR) biometry (LENSTAR).Setting: Tertiary care academic center.Design: Retrospective case series.Methods: 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.Results: 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.Conclusions: 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.","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}

引用次数: 0

Clinical evaluation of the effectiveness of asymmetric intrastromal corneal ring segments with progressive base width for management of keratoconus. 基底宽度渐进式不对称角膜内环段治疗圆锥角膜疗效的临床评价。

IF 2.6 3区医学

Journal of cataract and refractive surgery Pub Date : 2025-06-01 DOI: 10.1097/j.jcrs.0000000000001629

Quentin Hays, Sofiene Kallel, Thibaud Garcin, Clémentine David, Raphaël Barugel, Marie Borderie, Roxane Cuyaubère, Isabelle Goemaere, Vincent Borderie, Nacim Bouheraoua

{"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":"Purpose: To evaluate visual, refractive, corneal topographic, and aberrometric results of asymmetric intracorneal ring segments (AS ICRSs) with variable width to manage asymmetric keratoconus.Setting: Quinze-Vingts National Ophthalmology Hospital, Paris, France.Design: Prospective observational study.Methods: 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.Results: 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).Conclusions: 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.","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}

引用次数: 0

Physicochemical characteristics of a microfiltered 0.4% trypan blue solution when applied to the anterior capsule. 微滤0.4%台盼蓝溶液应用于前囊时的物理化学特性。

IF 2.6 3区医学

Journal of cataract and refractive surgery Pub Date : 2025-06-01 DOI: 10.1097/j.jcrs.0000000000001654

Richard Packard

引用次数: 0

Reply : Comparison of complications and visual outcomes of combined phacovitrectomy vs stand-alone phacoemulsification: multicenter database study. 答复：联合超声玻璃体切除术与单独超声乳化术的并发症和视力结果的比较：多中心数据库研究。

IF 2.6 3区医学

Journal of cataract and refractive surgery Pub Date : 2025-06-01 DOI: 10.1097/j.jcrs.0000000000001663

Mohammad Bakr, Abdelrahman M Elhusseiny, Ahmed B Sallam

引用次数: 0

Reply : Intraocular lens rotational stability after cataract surgery with and without primary posterior continuous curvilinear capsulorhexis. 回复：伴有和不伴有原发性后路连续弧形撕囊的白内障手术后的人工晶状体旋转稳定性。

IF 2.6 3区医学

Journal of cataract and refractive surgery Pub Date : 2025-06-01 DOI: 10.1097/j.jcrs.0000000000001665

Yulong Huang, Mengting Yu, Wenjie Wu

引用次数: 0

In vivo capsular bag size in children with congenital cataract: implications for placement of intraocular lens. 先天性白内障患儿体内囊袋大小：对人工晶状体放置的影响。

IF 2.6 3区医学

Journal of cataract and refractive surgery Pub Date : 2025-06-01 DOI: 10.1097/j.jcrs.0000000000001631

Jaspreet Sukhija, Savleen Kaur, Kajree Gupta, Kiran Kumari, Sameer Sethi

{"title":"In vivo capsular bag size in children with congenital cataract: implications for placement of intraocular lens.","authors":"Jaspreet Sukhija, Savleen Kaur, Kajree Gupta, Kiran Kumari, Sameer Sethi","doi":"10.1097/j.jcrs.0000000000001631","DOIUrl":"10.1097/j.jcrs.0000000000001631","url":null,"abstract":"Purpose: To measure the equatorial lens diameter in vivo and correlate it with other biometric variables in children undergoing cataract surgery.Setting: Tertiary care institution.Design: Prospective case series.Methods: Children younger than 5 years with cataracts were included. Those with corneal opacities, previous ocular surgery, traumatic cataracts, and/or any coexisting corneal or retinal ocular pathology were excluded. In addition to routine investigations, all patients underwent ultrasound biomicroscopy of both eyes. Correlation between the measured value of axial length (AL), corneal diameter, age, and bag diameters and their effect on intraocular lens (IOL) implantation (aphakia/pseudophakia) were observed.Results: We included 112 eyes of 68 children with a mean age of 11.42 ± 11.34 months (1 month to 4 years). Mean capsular bag diameter (CBD) in the eyes where IOL was placed successfully in the bag was 8.27 ± 0.6 mm (7.1 to 9.39 mm). The eyes in which IOL placement was difficult in the bag and who either were left aphakic or had bicapsular capture IOL placed had a mean diameter of 7.09 ± 0.99 mm (5.23 to 9.09 mm) ( P < .05). A significant and positive correlation was found between CBD and age, AL, and corneal diameter ( P = .00; 0.00; 0.001 and r = 0.4, 0.4, and 0.8, respectively). Bag diameter had the highest association (odds ratio 4) with successful IOL placement.Conclusions: Bag diameters should be measured preoperatively in children with cataracts along with other biometric variables as it is the most important measurement that helps in making a decision regarding implantation and positioning of IOL.","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"483-487"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399176","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

Interlenticular membrane formation after piggyback lens implantation: novel AS-OCT imaging of a well-documented complication. 背负式晶状体植入术后晶状体间膜的形成：一种有充分证据的并发症的新型AS-OCT成像。

IF 2.6 3区医学

Journal of cataract and refractive surgery Pub Date : 2025-06-01 DOI: 10.1097/j.jcrs.0000000000001648

Brooke E Heckel, Amar K Bhat, Vishal Jhanji

引用次数: 0

Comment on: Impact of quality indicators on variability of keratometry measurements using a SS-OCT-based optical biometer. 评论：质量指标对使用ss - oct光学生物计的角膜测量变异性的影响。

IF 2.6 3区医学

Journal of cataract and refractive surgery Pub Date : 2025-06-01 DOI: 10.1097/j.jcrs.0000000000001666

Kristian Næser

引用次数: 0

Standards for analyzing astigmatic outcomes: Part I: astigmatism basics. 散光结果分析标准。第1部分：散光基础。

IF 2.6 3区医学

Journal of cataract and refractive surgery Pub Date : 2025-06-01 DOI: 10.1097/j.jcrs.0000000000001644

Thomas Kohnen, Kristian Næser, Jack T Holladay, R Doyle Stulting, Li Wang, Adi Abulafia, Douglas D Koch

{"title":"Standards for analyzing astigmatic outcomes: Part I: astigmatism basics.","authors":"Thomas Kohnen, Kristian Næser, Jack T Holladay, R Doyle Stulting, Li Wang, Adi Abulafia, Douglas D Koch","doi":"10.1097/j.jcrs.0000000000001644","DOIUrl":"10.1097/j.jcrs.0000000000001644","url":null,"abstract":"Astigmatism is the difference between the orthogonal principal planes of minimal and maximal powers of a toric surface, lens, or refraction. Corneal astigmatism is a common condition, and studies indicate that over 60% of individuals have more than 0.50 diopters of astigmatism. Corneal astigmatism is measured in various ways, and measurements from different devices are usually not interchangeable because of variations in technology and the corneal regions that are imaged. The integrity of the ocular surface is critically important for accurately measuring corneal astigmatism. Optimizing the ocular surface before cataract surgery can significantly improve the accuracy of preoperative astigmatism measurements and refractive outcomes. It is advisable to obtain at least 2 or preferably 3 measurements when measuring corneal astigmatism. When a discrepancy in astigmatism meridian and magnitude occurs between the measurements, it is advisable to settle or at least minimize this discrepancy by repeating the measurements after optimizing the ocular surface. Posterior corneal astigmatism is an important component of total corneal astigmatism. Lens tilt can also induce visually significant refractive astigmatism and ideally should be accounted for in toric intraocular lens planning.","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"440-446"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542056","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