Journal of cataract and refractive surgery最新文献

{"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":"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":"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":"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}

{"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":"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":"Visual performance and patient-reported outcomes of an EDF intraocular lens compared with a monofocal intraocular lens: randomized trial.","authors":"Stefan Palkovits, Manuel Ruiss, Caroline Pilwachs, Johannes Zeilinger, Stefan Georgiev, Oliver Findl","doi":"10.1097/j.jcrs.0000000000001942","DOIUrl":"10.1097/j.jcrs.0000000000001942","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate clinical performance and visual outcomes of the Acunex Vario AN6V in comparison with the monofocal version, the Acunex AN6.</p><p><strong>Setting: </strong>Department of Ophthalmology, Hanusch Hospital, Vienna, Austria.</p><p><strong>Design: </strong>Prospective, randomized, monocenter trial.</p><p><strong>Methods: </strong>Patients undergoing bilateral cataract surgery were randomized to receive extended depth of field (EDF) intraocular lens (IOL), the Acunex Vario AN6V (EDF group) or the monofocal IOL Acunex AN6 (monofocal group). Primary outcome was spectacle independence 6 months postoperatively. Furthermore, uncorrected and corrected distance, intermediate and near visual acuity, stereo vision, defocus curves, and rate of photopic phenomena were assessed.</p><p><strong>Results: </strong>50 patients were included in the study, of whom 42 completed the 2 months and 35 the 6-month visit. 2 months after the procedure, a significantly higher proportion of patients in the EDF were spectacle-free during near tasks than in the monofocal group (37.5% vs 5.3%). Uncorrected and corrected distance intermediate (UIVA and DCIVA) as well as near (UNVA and DCNVA) visual acuities were significantly better in the EDF group (UIVA: 0.09 ± 0.12 vs 0.16 ± 0.07; P = .035; DCIVA: 0.12 ± 0.10 vs 0.16 ± 0.08; P = .03; UIVA: 0.24 ± 0.12 vs 0.37 ± 0.11; P = .001; DCNVA: 0.24 ± 0.12 vs 0.37 ± 0.11; P = .001) Furthermore, the EDF group had a larger range of defocus. Stereo vision and the occurrence of photopic phenomena were comparable between both groups.</p><p><strong>Conclusions: </strong>In comparison with the monofocal version, the EDF IOL AN6V demonstrated greater spectacle independence and significant enhancement in both intermediate and near visual acuities. Notably, the incidence, severity, and degree of perceived dysphotopsia were similar in both groups.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"897-903"},"PeriodicalIF":3.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13528832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147490809","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":"Long-term outcomes of corneal crosslinking for keratoconus across pediatric, adolescent, and adult populations in a diverse U.S. population.","authors":"Karen M Chen, Thitima Wungcharoen, Cindy Zhao, David Myung, Edward E Manche","doi":"10.1097/j.jcrs.0000000000001932","DOIUrl":"10.1097/j.jcrs.0000000000001932","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate long-term outcomes of epithelium-off corneal crosslinking (CXL) on keratoconus progression and visual function across pediatric, adolescent, and adult cohorts in a diverse U.S. population over a 5-year follow-up period.</p><p><strong>Setting: </strong>Tertiary care ophthalmology center in the United States.</p><p><strong>Design: </strong>Retrospective cohort study conducted between January 2017 and October 2025 of patients treated between January 2017 and May 2023. Inclusion criteria required a diagnosis of progressive keratoconus and ≥12 months of follow-up.</p><p><strong>Methods: </strong>243 eyes from 193 patients were analyzed, including 80 eyes from pediatric patients (32.9%) younger than 18 years of age. All eyes underwent standard epithelium-off CXL for progressive keratoconus. Clinical parameters, including corrected distance visual acuity (CDVA), maximum keratometry (Kmax), minimum central corneal thickness (CCTmin), and wavefront aberrations (root mean square error), were recorded preoperatively and at 12-month postoperative intervals through 60 months.</p><p><strong>Results: </strong>CXL was associated with significant and sustained visual and structural improvements. Mean CDVA improved significantly from baseline and remained improved through 60 months ( P < .05). The greatest mean corneal flattening (Kmax) occurred within the first 2 years, with stability maintained through 48 months ( P < .05). Postoperative CCTmin overall declined from preoperative baseline, demonstrating a trend of gradual rethickening consistent with stromal remodeling after 24 months, while remaining below baseline ( P < .05). Wavefront aberrations remained stable, and adverse events were minimal.</p><p><strong>Conclusions: </strong>CXL is associated with long-term safety and sustained improvements in visual and tomographic outcomes across pediatric, adolescent, and adult patients in a diverse U.S. cohort, supporting timely intervention in progressive keratoconus.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"872-878"},"PeriodicalIF":3.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147344293","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":"Clinical outcomes and in vivo wavefront analysis of a toric transcleral plug-fixated intraocular lens using a pyramidal sensor aberrometer.","authors":"Lorenzo de Angelis, Vito Romano, Fabrizio Giansanti, Gianni Virgili, Marianna Della Porta, Stanislao Rizzo, Francesco Barca","doi":"10.1097/j.jcrs.0000000000001930","DOIUrl":"10.1097/j.jcrs.0000000000001930","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the visual, refractive, and aberrometric outcomes of a toric (T) FIL-SSF intraocular lens (IOL) implanted in aphakic eyes lacking capsular support.</p><p><strong>Setting: </strong>Ospedale Piero Palagi and Azienda Ospedaliera Universitaria Careggi, Florence, Italy.</p><p><strong>Design: </strong>Multicenter prospective observational case series.</p><p><strong>Methods: </strong>Aphakic eyes with regular corneal astigmatism >1 diopter (D) underwent sutureless transscleral fixation of a T FIL-SSF IOL. Preoperative assessment included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest refraction, corneal tomography, and biometry. Postoperative visits occurred at 1 day; 7 days; and 1 month, 3 months, and 6 months. At 6 months, vector astigmatism analysis, wavefront aberrometry, and IOL alignment were performed.</p><p><strong>Results: </strong>15 eyes from 12 patients completed the 6-month follow-up. Mean UDVA improved from 0.96 ± 0.25 to 0.19 ± 0.10 logMAR and CDVA from 0.41 ± 0.32 to 0.04 ± 0.05 logMAR (both P < .01). Mean postoperative spherical equivalent prediction error was -0.12 ± 0.54 D. Mean absolute corneal astigmatism decreased from 2.15 ± 0.54 D to a mean refractive astigmatism of 0.73 ± 0.48 D. Wavefront aberrometry showed total astigmatism of 0.36 ± 0.28 µm, with mean total higher-order aberrations of 0.24 ± 0.08 µm. Mean IOL misalignment was 3.33 ± 3.42 degrees, significantly correlated with residual refractive astigmatism (ρ = 0.71 P < .01).</p><p><strong>Conclusions: </strong>T FIL-SSF IOL implantation provided substantial improvements in visual acuity, predictable refractive outcomes, and significant cylinder reduction in aphakic eyes with corneal astigmatism lacking capsular support.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"859-864"},"PeriodicalIF":3.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13528848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147344349","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}