Journal of cataract and refractive surgery最新文献

{"title":"Comment on: From the editor. Current and future nomenclature and categorization of intraocular lenses.","authors":"Sheraz Daya, Erik Mertens, Francesco Carones, David Shahnazaryan","doi":"10.1097/j.jcrs.0000000000001697","DOIUrl":"10.1097/j.jcrs.0000000000001697","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"746"},"PeriodicalIF":3.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144159238","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, randomized, controlled multicenter study of a monofocal EDOF intraocular lens compared with a standard aspheric monofocal intraocular lens.","authors":"Mark Packer, Tiago Monteiro, Cedric Schweitzer, Paul Rosen","doi":"10.1097/j.jcrs.0000000000001672","DOIUrl":"10.1097/j.jcrs.0000000000001672","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the safety and effectiveness of a monofocal enhanced depth-of-focus intraocular lens (mono-EDOF IOL, xact Mono-EDOF Model ME4) compared with an aspheric monofocal IOL (TECNIS 1-Piece IOL Model ZCB00).</p><p><strong>Setting: </strong>Sites in the United Kingdom, France, and Portugal.</p><p><strong>Design: </strong>Prospective, multicenter, controlled, single-masked, randomized 2:1 (test:control) clinical trial.</p><p><strong>Methods: </strong>Adults 40 years of age or older with bilateral cataracts, expected postoperative refractive astigmatism of ≤1.0 diopter (D) and calculated lens power 18 to 30 D, underwent implantation of either mono-EDOF or aspheric monofocal IOL in both eyes. Primary endpoints assessed at days 120 to 180 included monocular uncorrected distance visual acuity (UDVA) and visual disturbances. Secondary endpoints were monocular uncorrected intermediate visual acuity (UIVA) and monocular distance corrected intermediate visual acuity (DCIVA).</p><p><strong>Results: </strong>65 patients were randomized; 45 patients (95.2%) with Mono-EDOF and 20 patients (95.2%) with control completed the study. Compared with control, Mono-EDOF had significantly better monocular UDVA ( P = .0128), monocular UIVA ( P < .001), and monocular DCIVA ( P < .001). Monocular and binocular defocus curve measurements confirmed increased depth-of-focus for the Mono-EDOF compared with the control IOL by approximately 0.50 D and 0.75 D, respectively. Contrast sensitivity measured under mesopic conditions with and without glare was similar between groups. Halo or glare was reported by 25.7% and 33.3% of patients in the Mono-EDOF group, respectively, and 22.2% and 25.0%, respectively, in the control group.</p><p><strong>Conclusions: </strong>The xact Mono-EDOF ME4 IOL is a safe and effective alternative to a monofocal IOL. It provides superior intermediate VA compared with an aspheric monofocal IOL without compromising contrast sensitivity or creating unwanted photic phenomena.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"659-665"},"PeriodicalIF":3.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144010988","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":"Leaner and greener.","authors":"William J Dupps","doi":"10.1097/j.jcrs.0000000000001729","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001729","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":"51 8","pages":"645-646"},"PeriodicalIF":3.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251267","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 visual function and patient-reported outcomes between two full range of field intraocular lenses: a randomized controlled study.","authors":"Satish S Modi, Robert P Lehmann, Bret L Fisher, Richard E Roth, Harvey Reiser","doi":"10.1097/j.jcrs.0000000000001678","DOIUrl":"10.1097/j.jcrs.0000000000001678","url":null,"abstract":"<p><strong>Purpose: </strong>To compare visual and patient-reported outcomes in patients with cataracts bilaterally implanted with PanOptix or Synergy intraocular lenses (IOLs).</p><p><strong>Settings: </strong>5 sites in the United States.</p><p><strong>Design: </strong>Prospective, parallel-arm randomized patient-masked and examiner-masked clinical study.</p><p><strong>Methods: </strong>Adult patients with cataract (≥22 years) were randomized (1:1) to receive bilateral PanOptix or Synergy IOL implantation. Study endpoints: binocular uncorrected (UDVA) and corrected distance visual acuity (CDVA) (logMAR) at distance, intermediate (60 cm), and near (40 and 33 cm); defocus curve; patient-reported visual disturbances, spectacle independence, and visual satisfaction using questionnaires at 6 months; and binocular contrast sensitivity at 3 months.</p><p><strong>Results: </strong>At 6 months, PanOptix (n = 138) was noninferior to Synergy (n = 138) IOLs for photopic binocular UDVA and CDVA at all tested distances ( P < .05). Mesopic intermediate and near VA showed a similar trend. Defocus curves showed that both IOLs provided VA of ≤0.1 logMAR from -2.50 to +0.50 diopters (D) and <0.2 logMAR at -3.00 D. A significantly lower proportion of patients with PanOptix (vs Synergy) experienced starbursts and glare ( P < .05). Most patients in both groups reported never/rarely needing spectacles to see and high satisfaction with vision. Both IOLs provided similar binocular contrast sensitivity at 3 months under photopic and mesopic conditions.</p><p><strong>Conclusions: </strong>PanOptix IOLs provided a similar full range of vision, spectacle independence, and contrast sensitivity, but superior tolerance to glare and starbursts, compared with Synergy IOLs.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"695-702"},"PeriodicalIF":3.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025539","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":"Correlation with a multifocal intraocular lens of in vitro figures of merit with clinical visual acuity.","authors":"Jérôme Loicq, Damien Gatinel, Nicolas Willet, Christophe Pagnoulle, Maxime Dietens, Sarah Trigallez","doi":"10.1097/j.jcrs.0000000000001682","DOIUrl":"10.1097/j.jcrs.0000000000001682","url":null,"abstract":"<p><strong>Purpose: </strong>To assesses the link between the in vitro optical properties of the PODFGF multifocal intraocular lens (IOL) and its visual acuity (VA) clinical performance.</p><p><strong>Setting: </strong>The study was conducted at TUDelft (NL), ULiege (BE), the Rothschild Institute (FR), and Beaver-Visitec International (BE).</p><p><strong>Design: </strong>The study analyzed 3 powers of the PODFGF IOL. The in vitro imaging quality was assessed using modulation transfer function (MTF) frequency sweep and through-focus MTF. Multiple figures of merit (FOMs), including MTF at 25-50-100 LP/mm, MTFa, and Strehl ratio, were extracted. Data acquisitions followed 2 ISO norms in green and white light conditions. The correlation with patients' clinical VA was evaluated.</p><p><strong>Methods: </strong>The methodology had 2 parts: first, characterizing the in vitro properties of the IOL using FOMs, such as MTF, MTFa, and Strehl ratio, with multiple power samples (6 to 35 diopters). The second part analyzed the VA of 413 eyes implanted with FINEVISION-HP (PODFGF). Over 2 years, subjective refraction, uncorrected distance VA, corrected distance VA, uncorrected intermediate VA, distance-corrected intermediate VA, uncorrected near VA, distance-corrected near VA, defocus curve, photopic and mesopic contrast sensitivity, and rotational stability were analyzed.</p><p><strong>Results: </strong>The correlation between in vitro MTFa evaluated from the experimental data on IOLs and the clinical VA performed on implanted patients leads to an accurate prediction of vision capabilities after surgery.</p><p><strong>Conclusions: </strong>This study clinically demonstrates on a large patient cohort that MTFa complements single-frequency MTFs and establishes a mathematical link between MTF at 50 LP/mm, MTFa, and VA. In addition, it connects the 2 ISO model-eye standards and highlights the link between green and white light measurements in accurately predicting VA.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"703-712"},"PeriodicalIF":3.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008328","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 : From the editor. Current and future nomenclature and categorization of intraocular lenses.","authors":"Thomas Kohnen","doi":"10.1097/j.jcrs.0000000000001696","DOIUrl":"10.1097/j.jcrs.0000000000001696","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"746-747"},"PeriodicalIF":3.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144159240","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":"Optical confirmation by a thick-lens formula of the optimized A-constant (as calculated by a thin-lens formula) of a new intraocular lens.","authors":"Giacomo Savini, Daniela Nicolosi, Kenneth J Hoffer, Catarina P Coutinho, Maria Cristina Curatolo, Domenico Schiano-Lomoriello","doi":"10.1097/j.jcrs.0000000000001671","DOIUrl":"10.1097/j.jcrs.0000000000001671","url":null,"abstract":"<p><strong>Purpose: </strong>To provide a physical explanation for the A-constant of a new enhanced monofocal intraocular lens (IOL) by evaluating the relationship between the postoperative anterior chamber depth constant (ACD-constant) predicted by the Olsen formula, the ACD predicted by the Holladay formula, and the postoperative ACD measured by anterior segment optical coherence tomography (AS-OCT).</p><p><strong>Setting: </strong>IRCCS Bietti Foundation, Rome, Italy.</p><p><strong>Design: </strong>Retrospective case series.</p><p><strong>Methods: </strong>In a series of consecutive patients who underwent cataract surgery with the same enhanced monofocal IOL, the A-constant of the SRK/T formula was optimized. The postoperative distance between the corneal epithelium and the anterior surface of the IOL was measured by AS-OCT (MS-39) and compared with the ACD predicted by the Olsen formula (PhacoOptics) and the method described by Holladay to correlate the thin-lens IOL position with the thick-lens IOL position.</p><p><strong>Results: </strong>21 eyes were investigated. The back-calculated optimized A-constant was 118.33. The mean measured IOL distance from the corneal epithelium was 4.24 ± 0.28 mm. Based on the A-constant value of 118.33, PhacoOptics calculated that the mean predicted ACD constant specific for this IOL was 4.28 mm, while the mean predicted ACD based on the individual preoperative biometric parameters was 4.17 ± 0.23 mm. According to the Holladay method, the IOL distance from the corneal vertex was 4.21 ± 0.36 mm. Repeated measures analysis of variance disclosed that the difference among the 3 values was not significant ( P = .3535).</p><p><strong>Conclusions: </strong>The optimized A-constant correlates well with the thick-lens values calculated for the postoperative ACD.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"652-658"},"PeriodicalIF":3.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023427","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":"AS-OCT: corneal topography and clinical findings of 28-year chlorpromazine - induced corneal and lenticular deposits.","authors":"Hei Tung Shek, Julia Y Y Chan","doi":"10.1097/j.jcrs.0000000000001693","DOIUrl":"10.1097/j.jcrs.0000000000001693","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"744-745"},"PeriodicalIF":3.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144150391","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":"Embraced intracorneal ring segments: unusual case in a patient with keratoconus.","authors":"Gonzalo Roig-Ferreruela, Álvaro Cabezas-Vicente, Cristina Peris-Martínez","doi":"10.1097/j.jcrs.0000000000001681","DOIUrl":"10.1097/j.jcrs.0000000000001681","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"743"},"PeriodicalIF":3.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019587","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":"Psychometric assessment of the Chinese version of the Near Activity Visual Questionnaire in presbyopia using Rasch analysis.","authors":"Yuecheng Ren, Jiawei Li, Xinyu Jiang, Jyoti Khadka, Yiran Wang, Chenfeng Gu, Yue Wu, Qinmei Wang, Jinhai Huang, Rongrong Gao","doi":"10.1097/j.jcrs.0000000000001675","DOIUrl":"10.1097/j.jcrs.0000000000001675","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the psychometric properties of the Chinese version of the Near Activity Visual Questionnaire (NAVQ).</p><p><strong>Setting: </strong>The Eye Hospital of Wenzhou Medical University.</p><p><strong>Design: </strong>Randomized single-center observational study.</p><p><strong>Methods: </strong>The original English version of the NAVQ was translated and crossculturally adapted into Mandarin. Participants with presbyopia completed the NAVQ. Clinical data, including monocular and binocular habitual near visual acuity (HNVA), manifest refraction spherical power, cylindrical power, and near addition (ADD), were collected. The NAVQ was psychometrically assessed using Rasch analysis metrics. The criterion validity was evaluated by correlating the Rasch score with clinical data.</p><p><strong>Results: </strong>175 participants with presbyopia (median age: 65 years, female: 42.9%) were included. Rasch analysis demonstrated that the NAVQ was unidimensional, with ordered thresholds, good measurement precision (person separation measure: 2.86), and acceptable targeting (0.99 logit). The NAVQ Rasch score correlated strongly with binocular HNVA ( rs = 0.678) compared with better-eye and worse-eye visual acuities. It also showed moderate correlations with additional power ( rs = 0.523) and the spherical equivalent for presbyopia correction in the better eye ( rs = 0.656) and worse eye ( rs = 0.647) (all P < 0.001).</p><p><strong>Conclusions: </strong>The Chinese version of the NAVQ demonstrated good psychometric properties and validity in a Chinese presbyopia population.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"672-678"},"PeriodicalIF":3.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986247","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}