Journal of cataract and refractive surgery最新文献_第9页

Canaloplasty improves successful positioning of trabecular microstent: retrospective comparative study. 导管成形术提高小梁支架成功定位的回顾性比较研究。

IF 3.7 3区医学

Journal of cataract and refractive surgery Pub Date : 2026-07-01 DOI: 10.1097/j.jcrs.0000000000001890

Arkadiy Yadgarov, Kallista Dentice

{"title":"Canaloplasty improves successful positioning of trabecular microstent: retrospective comparative study.","authors":"Arkadiy Yadgarov, Kallista Dentice","doi":"10.1097/j.jcrs.0000000000001890","DOIUrl":"10.1097/j.jcrs.0000000000001890","url":null,"abstract":"Purpose: To evaluate whether preceding Hydrus Microstent implantation with canaloplasty improves the rate of successful device positioning and reduces the incidence of device malposition.Setting: Private glaucoma referral center, U.S.Design: Retrospective comparative cohort study.Methods: This study included 368 eyes undergoing phacoemulsification with Hydrus implantation, with or without prior canaloplasty using the OMNI Surgical System. The primary outcome was the rate of successful Hydrus implantation, defined as the absence of both downward tip malposition and intraoperative insertion failure. Complication rates were compared between groups using appropriate statistical analyses.Results: Of 368 eyes, 236 received Hydrus alone and 132 underwent canaloplasty followed by Hydrus. Successful implantation occurred in 206 of 236 eyes (87.3%) in the Hydrus-only group and 124 of 132 eyes (93.9%) in the canaloplasty + Hydrus group ( P = .048). Downward tip malposition occurred in 21 of 236 eyes (8.9%) vs 5 of 132 eyes (3.8%), and insertion failure occurred in 9 of 236 eyes (3.8%) vs 3 of 132 eyes (2.3%) in the Hydrus-only and canaloplasty + Hydrus groups, respectively; these subgroup differences were not statistically significant. However, the downward malposition rate demonstrated a 57% relative risk reduction in the canaloplasty group.Conclusions: Preceding Hydrus implantation with canaloplasty was associated with improved technical delivery success, reflected by reduced downward tip malposition and fewer insertion failures. Canaloplasty was also associated with an unexpected, distinct type of malposition, highlighting the importance of recognizing different malposition patterns and careful intraoperative assessment.","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"691-695"},"PeriodicalIF":3.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146125012","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

Impact of eye movement on postoperative optical aberrations and refractive outcomes in LASIK surgery. 眼动对LASIK术后光像差和屈光效果的影响。

IF 3.7 3区医学

Journal of cataract and refractive surgery Pub Date : 2026-07-01 DOI: 10.1097/j.jcrs.0000000000001903

Soodabeh Darzi, Lily M Chacra, Samuel Arba Mosquera, Shady T Awwad

{"title":"Impact of eye movement on postoperative optical aberrations and refractive outcomes in LASIK surgery.","authors":"Soodabeh Darzi, Lily M Chacra, Samuel Arba Mosquera, Shady T Awwad","doi":"10.1097/j.jcrs.0000000000001903","DOIUrl":"10.1097/j.jcrs.0000000000001903","url":null,"abstract":"Purpose: To examine the influence of eye movement variability on postoperative higher-order aberrations (HOAs), and refractive and astigmatic changes after femto laser in situ keratomileusis (LASIK).Setting: American University of Beirut Medical Center.Design: Retrospective study.Methods: A retrospective analysis was conducted on 94 eyes from 47 patients treated with the SCHWIND AMARIS system. Intraoperative eye-tracking data captured horizontal (X) and vertical (Y), and radial (R) positional shifts, with variability quantified using mean and SD. Correlation analyses examined the impact of movement fluctuations on postoperative corneal HOAs at 3 months, both unscaled and scaled by planned spherical equivalent (SEq) and astigmatism. Analyses were conducted on the full dataset and repeated using 1 eye per patient (right eyes only) after exclusion of high-influence points to eliminate pseudoreplication and assess robustness.Results: Increased intraoperative fixation variability was associated with greater postoperative aberrations, with the strongest and most consistent correlations observed for spherical aberration (SA). Variability in horizontal, vertical, and radial eye positions showed significant associations with induced SA, which were strengthened when positional measures were scaled by planned SEq. Several associations, particularly those involving SA, remained significant after removing high-influence points and were partially preserved in the 1-eye sensitivity analysis.Conclusions: Fixation instability (leading to movement variability) is consistently associated with increased induction of SA, and to a lesser extent, other HOAs after FemtoLASIK. Improvements in eye-tracking technology performance and fixation stability may reduce aberration induction and improve refractive outcomes.","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"650-657"},"PeriodicalIF":3.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146149485","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

Agreement between a new SS-OCT biometer and a SD-OCT/Placido topographer for anterior segment measurements. ZW-30 SS-OCT生物计与MS-39 SD-OCT/Placido Topographer在前节测量方面的协议。

IF 3.7 3区医学

Journal of cataract and refractive surgery Pub Date : 2026-07-01 DOI: 10.1097/j.jcrs.0000000000001904

Chak Seng Lei, Qinghao Meng, Qingyi Gao, Xinning Yang, Jinxuan Xiahou, Giacomo Savini, Domenico Schiano-Lomoriello, Xingtao Zhou, Jinhai Huang

{"title":"Agreement between a new SS-OCT biometer and a SD-OCT/Placido topographer for anterior segment measurements.","authors":"Chak Seng Lei, Qinghao Meng, Qingyi Gao, Xinning Yang, Jinxuan Xiahou, Giacomo Savini, Domenico Schiano-Lomoriello, Xingtao Zhou, Jinhai Huang","doi":"10.1097/j.jcrs.0000000000001904","DOIUrl":"10.1097/j.jcrs.0000000000001904","url":null,"abstract":"Purpose: To evaluate the agreement of anterior segment biometric measurements between a new swept-source optical coherence tomography (SS-OCT) biometer (ZW-30) and a spectral-domain optical coherence tomography combined with Placido-disk topography (SD-OCT/Placido topographer, MS-39).Setting: Eye and ENT Hospital of Fudan University, Shanghai, China.Design: Prospective cross-sectional study.Methods: This prospective, cross-sectional study recruited 70 healthy eyes from 70 participants. Each eye underwent 3 consecutive scans with both ZW-30 and MS-39. Parameters analyzed included central corneal thickness (CCT), anterior chamber depth (ACD), lens thickness (LT), mean keratometry (Km), J 0 and J 45 astigmatism vector components, and corneal diameter (CD). Interdevice differences were evaluated using paired t tests, and Bland-Altman analysis with 95% limits of agreement (LoA) assessed the agreement.Results: Significant differences were observed in all parameters measured, except for J 0 . Bland-Altman analysis indicated high agreement for CCT (mean difference: 5.38 ± 3.67 μm; 95% LoA: -2.73 to 13.48 μm), ACD (-0.11 ± 0.03 mm; -0.18 to -0.03 mm), LT (-0.06 ± 0.05 mm; -0.17 to 0.05 mm), Km (0.07 ± 0.16 diopter [D]; -0.33 to 0.47 D), J 0 (0.02 ± 0.12 D; -0.31 to 0.27 D), and J 45 (-0.08 ± 0.09 D; -0.32 to 0.16 D). A larger discrepancy was observed for CD (0.48 ± 0.13 mm; 0.17 to 0.79 mm).Conclusions: The ZW-30 SS-OCT biometer and the MS-39 SD-OCT/Placido topographer demonstrated high agreement for most anterior segment parameters, indicating their interchangeability in clinical practice. However, caution is advised when using CD measurements interchangeably because of the observed systematic differences between devices.","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"696-702"},"PeriodicalIF":3.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146149875","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

Comparison of clinical and patient-reported outcomes of contralateral topography-guided vs wavefront-guided LASIK. 对侧地形引导与波前引导激光辅助原位角膜磨砂术的临床和患者报告结果比较。

IF 3.7 3区医学

Journal of cataract and refractive surgery Pub Date : 2026-07-01 DOI: 10.1097/j.jcrs.0000000000001905

Nicholas E Dudenhoefer, Samantha B Rodgers, Charisma B Evangelista, Gary L Legault, Samuel S Chen, Paul D Kohler, José E Capó-Aponte

{"title":"Comparison of clinical and patient-reported outcomes of contralateral topography-guided vs wavefront-guided LASIK.","authors":"Nicholas E Dudenhoefer, Samantha B Rodgers, Charisma B Evangelista, Gary L Legault, Samuel S Chen, Paul D Kohler, José E Capó-Aponte","doi":"10.1097/j.jcrs.0000000000001905","DOIUrl":"10.1097/j.jcrs.0000000000001905","url":null,"abstract":"Purpose: To compare 6-month visual and patient-reported outcomes between topography-guided (TG) using Contoura with Phorcides and wavefront-guided (WFG) LASIK using iDesign 2.0 laser-assisted in situ keratomileusis (LASIK).Setting: Joint Warfighter Refractive Surgery Center, Lackland Air Force Base, Texas.Design: Prospective, double-blind, randomized.Methods: 66 participants receive TG-LASIK in one eye and WFG-LASIK in the contralateral eye. Preoperative and postoperative assessments included uncorrected distance visual acuity (UDVA) and corrected distance visual acuity (CDVA), manifest refraction, higher-order aberrations (HOAs), Schirmer test, and validated questionnaires (Patient-Reported Outcomes with LASIK-Symptoms and Satisfaction; Standard Patient Evaluation of Eye Dryness). Flaps were created with the Zeiss VisuMax femtosecond laser, followed by TG or WFG excimer laser ablation. Outcomes were evaluated at multiple timepoints through 6 months.Results: At 6 months, 54% of WFG-LASIK eyes and 46% of TG-LASIK eyes achieved UDVA of 20/16 or better ( P = .48). TG-LASIK showed a higher efficiency index (1.08 vs 1.02; P = .03) and better mean spherical equivalent (0.04 diopters [D] vs 0.13 D; P = .04), while WFG-LASIK had superior low-contrast UDVA and CDVA. Safety indices, residual HOAs, and dry eye symptoms were similar between groups. Both procedures significantly improved patient satisfaction and reduced visual disturbances compared with baseline.Conclusions: Both TG-LASIK and WFG-LASIK using the latest excimer and diagnostic platforms, Contoura with Phorcides on the WaveLight EX500 and iDesign 2.0 on the VISX STAR S4 IR, are highly effective and safe options for customized refractive correction.","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":"641-649"},"PeriodicalIF":3.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13308638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146157232","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}

引用次数: 0

Comparative Analysis of Human and Porcine Corneal Mechanics and Structure after Glycosaminoglycan Degradation. 糖胺聚糖降解后人与猪角膜力学与结构的比较分析。

IF 3.7 3区医学

Journal of cataract and refractive surgery Pub Date : 2026-06-22 DOI: 10.1097/j.jcrs.0000000000002011

Hamed Hatami-Marbini, Esharuzzaman Emu

{"title":"Comparative Analysis of Human and Porcine Corneal Mechanics and Structure after Glycosaminoglycan Degradation.","authors":"Hamed Hatami-Marbini, Esharuzzaman Emu","doi":"10.1097/j.jcrs.0000000000002011","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000002011","url":null,"abstract":"Purpose: To compare biomechanical and microstructural effects of keratan sulfate (KS) glycosaminoglycans (GAGs) in human and porcine cornea.Setting: Computational Biomechanical Laboratory, University of Illinois Chicago.Design: Experimental in vitro laboratory study.Methods: Human and porcine corneal samples were divided into control (untreated), enzyme-treated (enzyme) groups. For enzyme-treated samples, keratanase enzyme II was used to deplete KS GAGs. Uniaxial tensile experiments along with histochemical and transmission electron microscopy (TEM) studies were used to characterize biomechanical and microstructural properties.Results: Human corneas were mechanically stronger (P<0.05), with maximum modulus of 14.31±2.87 MPa and stress of 0.55±0.10 MPa; compared to 6.71±1.35 MPa and 0.27±0.04 MPa, respectively for porcine corneas. Following KS GAG removal, samples became significantly softer and weaker (P<0.05), with maximum moduli of 7.49±1.55 MPa and 2.80±0.30 MPa and maximum stresses of 0.33±0.06 MPa and 0.13±0.01 MPa for human and porcine corneas, respectively. Histochemical staining for GAGs showed markedly reduced blue color intensity following the treatment, indicating a substantial decrease in GAG content. TEM images showed significant differences in collagen fibril diameter and interfibrillar spacing between control porcine and human cornea (P<0.05). GAG depletion had an insignificant effect on collagen fibril diameter but caused a significant increase in the interfibrillar spacing in both human and porcine corneas (P<0.05).Conclusions: Although human and porcine corneas exhibit distinct tensile properties, alterations in KS GAG content substantially affect their microstructure and structural integrity. A thorough understanding of roles of GAGs could facilitate improved management of visions diseases rooted in GAG defects.","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148283929","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

Intracorneal Ring Segment Implantation with Epithelium-off Accelerated Cross-Linking for Pediatric Keratoconus: A 7-Year Retrospective Analysis. 儿童圆锥角膜的角膜内环段植入与上皮脱落加速交联：7年回顾性分析。

IF 3.7 3区医学

Journal of cataract and refractive surgery Pub Date : 2026-06-22 DOI: 10.1097/j.jcrs.0000000000002010

Roberto Albertazzi, Camila Solis, Antonio Ballesteros-Sánchez, Cosimo Mazzotta, Carlos Rocha-de-Lossada

{"title":"Intracorneal Ring Segment Implantation with Epithelium-off Accelerated Cross-Linking for Pediatric Keratoconus: A 7-Year Retrospective Analysis.","authors":"Roberto Albertazzi, Camila Solis, Antonio Ballesteros-Sánchez, Cosimo Mazzotta, Carlos Rocha-de-Lossada","doi":"10.1097/j.jcrs.0000000000002010","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000002010","url":null,"abstract":"Purpose: To evaluate long-term clinical outcomes after intracorneal ring segment implantation (ICRS) followed epithelium-off (epi-off) accelerated cross-linking (A-CXL) in pediatric keratoconus (KC).Setting: Centro de Ojos Quilmes, Argentina.Design: Longitudinal Retrospective study.Methods: Seventy-three eyes from pediatric KC patients were included. Outcome measures included uncorrected (UDVA) and corrected distance visual acuity (CDVA), spherical refraction, spherical equivalent (SE), mean keratometry (Km) with the flattest (K1) and steepest (K2) corneal curvatures, and both refractive and corneal astigmatism. Changes from preoperative were assessed at 12, 36, 60, and 84 months. Astigmatism vector analysis was performed using double-angle plots, reporting centroids and mean absolute values.Results: Throughout the follow-up period, significant improvements were observed in visual and keratometric outcomes compared with preoperative values. At 60 months, UDVA and CDVA improved by 0.29 logMAR (P < 0.0001; 95% CI, 0.13 to 0.45) and 0.15 logMAR (P < 0.0001; 95% CI, 0.05 to 0.27), respectively. Km decreased by 2.74 D at 60 months (P = 0.022; 95% CI, 0.24 to 5.24), whereas K2 decreased by 4.01 D at 84 months (P = 0.003; 95% CI, 0.96 to 7.05). Changes in centroids and mean absolute values for both corneal and refractive astigmatism also remained significant during the follow-up.Conclusion: ICRS combined with epi-off A-CXL represents an effective treatment for pediatric KC, providing sustained improvements in visual acuity, keratometry, and both refractive and corneal astigmatism over the follow-up period. These findings support its role as a comprehensive therapeutic approach to halt long-term disease progression and enhance visual function.","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148283952","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

Efficacy and safety of implantable phakic contact lens versus implantable collamer lens in myopic eyes: a systematic review and meta-analysis. 植入式隐形眼镜与植入式锥体隐形眼镜治疗近视的疗效和安全性：一项系统综述和荟萃分析。

IF 3.7 3区医学

Journal of cataract and refractive surgery Pub Date : 2026-06-19 DOI: 10.1097/j.jcrs.0000000000002008

Nuno Rodrigues Alves, Catarina Barão, Matheus Pedrotti Chavez, Pedro Gil, Diogo Hipólito Fernandes, João Feijão, Nuno Filipe Alves, Jorge L Alió Del Barrio, Jorge L Alió

{"title":"Efficacy and safety of implantable phakic contact lens versus implantable collamer lens in myopic eyes: a systematic review and meta-analysis.","authors":"Nuno Rodrigues Alves, Catarina Barão, Matheus Pedrotti Chavez, Pedro Gil, Diogo Hipólito Fernandes, João Feijão, Nuno Filipe Alves, Jorge L Alió Del Barrio, Jorge L Alió","doi":"10.1097/j.jcrs.0000000000002008","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000002008","url":null,"abstract":"Topic: To compare the efficacy and safety of Implantable Phakic Contact Lens (IPCL) versus Implantable Collamer Lens (ICL) implantation for myopia correction.Clinical relevance: ICL is an established treatment for moderate-to-high myopia. However, comparative evidence evaluating outcomes between ICL and IPCL remains limited.Methods: Following PRISMA 2020 guidelines (PROSPERO CRD420251207282), PubMed, Embase, and the Cochrane were searched through November 7, 2025 for studies comparing IPCL and EVO ICL implantation in myopic eyes. Primary outcomes were uncorrected (UDVA) and corrected distance visual acuity (CDVA), and spherical equivalent (SE). Secondary outcomes included refractive accuracy, vault, adverse events, and efficacy and safety indices. Random-effects models were used.Results: Nine studies (3 randomized, 6 observational) including 1,187 eyes (559 IPCL; 628 ICL), were analyzed. UDVA and CDVA were similar between groups. A small statistical difference in SE favored IPCL (MD -0.06 D; 95% CI -0.11 to -0.00; p = 0.03), although this was not robust to sensitivity analysis. Refractive accuracy was similar (83% vs 88% within ±0.50D; RR 0.96; p = 0.21). Secondary outcomes were comparable, including out-of-range vault, cataract formation (0.7% vs 0.8%), endothelial cell loss (2.2% in both groups), and explantation. Acute glaucoma was rare (0.17%), occurring only with IPCL V1.0. Toric ICL demonstrated greater rotational stability (7.1% vs 1.8%; RR 3.49; p = 0.03). Efficacy and safety indices were comparable (IPCL: 1.05/1.19 vs ICL: 1.06/1.18).Conclusion: IPCL and ICL provide comparable visual and safety outcomes for myopia correction. Toric ICL showed greater rotational stability. Further long-term studies are warranted.","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148271772","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

Detection of Latent Macular Lesions by Preoperative Optical Coherence Tomography and Associated Factors in Japanese Cataract Patients. 日本白内障患者术前光学相干断层扫描检测潜在黄斑病变及其相关因素。

IF 3.7 3区医学

Journal of cataract and refractive surgery Pub Date : 2026-06-18 DOI: 10.1097/j.jcrs.0000000000002006

Hiroaki Endo, Takayuki Tanaka, Michiyuki Saito, Satoru Kase, Iyo Sawada, Satoshi Katsuta, Takatoshi Sakaguchi, Susumu Ishida

{"title":"Detection of Latent Macular Lesions by Preoperative Optical Coherence Tomography and Associated Factors in Japanese Cataract Patients.","authors":"Hiroaki Endo, Takayuki Tanaka, Michiyuki Saito, Satoru Kase, Iyo Sawada, Satoshi Katsuta, Takatoshi Sakaguchi, Susumu Ishida","doi":"10.1097/j.jcrs.0000000000002006","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000002006","url":null,"abstract":"Purpose: The purpose of this study was to determine the detection rate and associated factors of latent macular lesions using preoperative Spectral-domain optical coherence tomography (SD-OCT) in Japanese patients scheduled for cataract surgery with no clinically confirmed macular abnormalities.Setting: Teine Keijinkai Hospital, Sapporo, Japan.Design: Retrospective observational study.Methods: We included 316 eyes of 316 Japanese cataract patients scheduled for surgery between January 2023 and December 2024 who had no suspected macular pathology on slit-lamp biomicroscopy. All patients underwent comprehensive ophthalmic examinations and SD-OCT, and the detection rate of latent macular lesions and their associated factors were investigated.Results: Latent macular lesions were detected in 30 eyes (9.5%) of 316 patients with a mean age of 76.8 ± 8.8 years. The most frequent lesions were epiretinal membrane (15 eyes, 4.7%), followed by irregular elevation of the retinal pigment epithelium (10 eyes, 3.2%). Clinically significant lesions requiring immediate surgical modification or additional treatment were identified in 3 eyes (1.0%), including a full-thickness macular hole (1 eye) and neovascular age-related macular degeneration (2 eyes). Age was independently associated with latent macular lesions (odds ratio 1.10, 95% Confidence Interval 1.04-1.16, P<0.01).Conclusion: Preoperative OCT screening may contribute to the evaluation of latent macular lesions, particulary in elderly cohort, and lead to optimized surgical planning.","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148277556","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

Reduced Incidence of Negative Dysphotopsia With Scleral-Fixated Intraocular Lenses. 巩膜固定人工晶状体降低阴性视力不良的发生率。

IF 3.7 3区医学

Journal of cataract and refractive surgery Pub Date : 2026-06-17 DOI: 10.1097/j.jcrs.0000000000001998

Samuel Masket, Nicole Fram, Stephen Kwong, Don Pham, Mahsaw Mansoor, Sophie Kantor, Vanessa Reyes, Hasan Alsetri

{"title":"Reduced Incidence of Negative Dysphotopsia With Scleral-Fixated Intraocular Lenses.","authors":"Samuel Masket, Nicole Fram, Stephen Kwong, Don Pham, Mahsaw Mansoor, Sophie Kantor, Vanessa Reyes, Hasan Alsetri","doi":"10.1097/j.jcrs.0000000000001998","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001998","url":null,"abstract":"Purpose: To determine the incidence of negative dysphotopsia (ND) in eyes with scleral-fixated intraocular lenses (SFIOLs) absent the capsular bag remnant.Setting: Private ophthalmology practice.Design: Retrospective observational study.Methods: Consecutive cases of patients undergoing SFIOL without a capsule bag remnant were reviewed. Patients were excluded if they had conditions that could impact visual field testing, iris or pupil abnormalities, best-corrected visual acuity worse than 20/50, or clinically significant corneal pathology. Eligible patients were contacted via email and if they agreed to participate, a telephone interview with a novel questionnaire was completed after the patient reviewed a representative image of an ND scotoma.Results: Of 206 identified scleral-fixated IOL cases, 50 patients met inclusion criteria and agreed to complete the novel questionnaire. None of the 50 patients reported symptoms of ND at any time following surgery.Conclusions: Negative dysphotopsia was not observed in this cohort of SFIOLs without a capsule bag remnant. These findings support the hypothesis that ND occurs primarily with \"in-the-bag\" IOLs and that the lens capsule, in some fashion, may play a role in the development of ND and suggest that existing optical modeling tests alone may be insufficient to explain the etiology for ND.","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148264687","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

A Comparative Analysis of Tolerance to Induced Astigmatism Across Various Categories of Intraocular Lenses. 不同种类人工晶体对诱发散光的耐受性比较分析。

IF 3.7 3区医学

Journal of cataract and refractive surgery Pub Date : 2026-06-16 DOI: 10.1097/j.jcrs.0000000000002005

Karolinne Maia Rocha, Hugo T F Borges, Marcela Barros, Larissa Gouvea, Maya Dodhia, George Oral Waring, Rupal H Trivedi

{"title":"A Comparative Analysis of Tolerance to Induced Astigmatism Across Various Categories of Intraocular Lenses.","authors":"Karolinne Maia Rocha, Hugo T F Borges, Marcela Barros, Larissa Gouvea, Maya Dodhia, George Oral Waring, Rupal H Trivedi","doi":"10.1097/j.jcrs.0000000000002005","DOIUrl":"10.1097/j.jcrs.0000000000002005","url":null,"abstract":"Purpose: To compare tolerance to induced astigmatism (TIA) across four intraocular lenses (IOLs).Setting: Medical University of South Carolina, Charleston, South Carolina, USA.Design: Prospective observational study.Methods: Patients underwent cataract surgery with a standard monofocal (ZCB00), enhanced monofocal (DIB00), diffractive violet light filter (VLF) extended depth of field (DOFi) (ZXR00V), or VLF full DOFi (DRN00V) IOL. At 1-3 months postoperatively, astigmatic defocus (0.5-2.0 D) was simulated in WTR, oblique, and ATR orientations.Results: 100 patients were included. DCIVA was statistically significantly better with VLF extended DOFi compared with the monofocal (P≤0.001) and enhanced monofocal IOLs (P=0.002). DCNVA was significantly better with VLF Full-DOFi IOL than with all other groups (P<0.001). No statistically significant differences were observed among the four IOL groups with induction of WTR astigmatism ≤1.0 D. At 0.5D oblique, the enhanced monofocal group outperformed the extended DOFi group (P=0.014), and at 2.0 D induced oblique astigmatism, it surpassed all other IOL groups. The enhanced monofocal IOL group showed the greatest tolerance to induced ATR astigmatism across all magnitudes. The VLF Full-DOFi IOL group maintained astigmatic tolerance like standard monofocal, enhanced monofocal, and extended DOFi IOLs up to 2.0 D in WTR and ATR, and 1.5 D in oblique orientations.Conclusion: TIA was not statistically significantly different among the standard monofocal, enhanced monofocal, VLF extended DOFi, and VLF Full-DOFi IOL groups with low to moderate induced WTR astigmatism. The enhanced monofocal IOL provided the greatest tolerance to induced astigmatism, especially under oblique and ATR astigmatic defocus.","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148264598","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}

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