Journal of cataract and refractive surgery最新文献

{"title":"Enhancing cataract surgery training through a secure microscope-integrated live video supervision system.","authors":"David Beckers, Lena Beckers, Philipp Zeitschel, Florian Kretz","doi":"10.1097/j.jcrs.0000000000001974","DOIUrl":"10.1097/j.jcrs.0000000000001974","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"943-945"},"PeriodicalIF":3.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147868515","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: Use of intracameral antibiotics prophylaxis in patients with posterior capsule rupture during cataract surgery: systemic review and meta-analysis.","authors":"Jeroen van Rooij","doi":"10.1097/j.jcrs.0000000000002016","DOIUrl":"10.1097/j.jcrs.0000000000002016","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"950-951"},"PeriodicalIF":3.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148352036","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 : Evaluating large language models vs residents in cataract and refractive surgery: comparative analysis using the American Academy of Ophthalmology Self-Assessment Program.","authors":"Avi Wallerstein, Mathieu Gauvin","doi":"10.1097/j.jcrs.0000000000002000","DOIUrl":"10.1097/j.jcrs.0000000000002000","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"955"},"PeriodicalIF":3.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148295015","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":"Cataract extraction with capsular bag scleral fixation in a patient with a congenital lens coloboma.","authors":"Susan Xia, Matthew Starr, Ruti Sella","doi":"10.1097/j.jcrs.0000000000001937","DOIUrl":"10.1097/j.jcrs.0000000000001937","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"948"},"PeriodicalIF":3.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147432942","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":"Phakic presbyopic intraocular lenses: systematic review.","authors":"Javier H González-Lugo, Hao Zhang, Jorge L Alió, Marcielle Ghanem, Ronald Steven Medalle, Jorge L Alió Del Barrio","doi":"10.1097/j.jcrs.0000000000001940","DOIUrl":"10.1097/j.jcrs.0000000000001940","url":null,"abstract":"<p><strong>Topic: </strong>Presbyopia affects nearly 2 billion individuals worldwide and remains a major unmet challenge in refractive surgery. This systematic review evaluated the visual, refractive, and safety outcomes of phakic intraocular lenses (pIOLs) specifically designed for presbyopia correction, including multifocal and extended depth-of-focus (EDOF) models. Eligible participants were presbyopic adults undergoing unilateral or bilateral pIOL implantation. Comparisons across optical designs and fixation types were examined in relation to visual performance and adverse events.</p><p><strong>Clinical relevance: </strong>Current presbyopia-correcting options, including corneal procedures and refractive lens exchange, may compromise accommodation or optical quality. Phakic presbyopic IOLs aim to restore full-range vision while preserving the crystalline lens, potentially offering a safer, reversible alternative.</p><p><strong>Methods: </strong>This review followed PRISMA guidelines and was prospectively registered in PROSPERO (CRD420251138158). Comprehensive searches were conducted in MEDLINE, PubMed, EMBASE, Registers, and the Cochrane Library through July 2025. Eligible studies included clinical trials and observational studies reporting visual, refractive, safety, or patient-reported outcomes of presbyopia-correcting pIOLs. Risk of bias was assessed using the Cochrane and ROBINS-I tools.</p><p><strong>Results: </strong>6 studies (354 eyes) were included. Contemporary pIOL designs; EVO Viva Implantable Collamelar Lens, trifocal Implantable Phakic Contact Lens, and ArtiPlus achieved at least 75% of eyes within ±0.50 diopter of target refraction, and 80% to 90% of patients attained functional spectacle independence. Glare and halos were commonly reported but generally mild. No sight-threatening adverse events occurred during short-term follow-up.</p><p><strong>Conclusions: </strong>Early evidence suggests favorable short-term safety and functional outcomes for presbyopia-correcting pIOLs while preserving the crystalline lens and residual accommodative function. However, evidence remains limited by short follow-up, small sample sizes, and industry sponsorship. Independent, long-term studies are required to establish their definitive role in refractive surgery.</p><p><strong>Registration: </strong>PROSPERO CRD420251138158.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"927-935"},"PeriodicalIF":3.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147490859","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: Accuracy of new-generation and traditional intraocular lens power calculation formulas in pediatric primary implantation.","authors":"Sabatiello Christian, Alfano Pasquale","doi":"10.1097/j.jcrs.0000000000002002","DOIUrl":"10.1097/j.jcrs.0000000000002002","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"952-953"},"PeriodicalIF":3.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148264558","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":"Atypical Acanthamoeba keratitis in an eye with previous radial keratotomy: diagnostic and therapeutic challenges.","authors":"Marc Bautista-Cortiella, Elena Arias-García, Álvaro Cabezas-Vicente, Altea Martínez-García, Ester Fernández-López","doi":"10.1097/j.jcrs.0000000000001956","DOIUrl":"10.1097/j.jcrs.0000000000001956","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"946-947"},"PeriodicalIF":3.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147654012","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":"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}