Journal of cataract and refractive surgery最新文献

{"title":"Changes in the Sulcus and Anterior Chamber after horizontal or vertical intraocular lens orientation: a prospective randomized study.","authors":"Mayank A Nanavaty, Catherine Offer, Campbell Kier, Christopher Way, Paul Frattaroli, Stephen Bremner","doi":"10.1097/j.jcrs.0000000000001727","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001727","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the changes in ciliary sulcus (CS) and anterior chamber diameters (ACDi) following horizontal or vertical orientation of the intraocular lens (IOL) in the capsular bag in relation to preoperative axial length (AL) and anterior chamber depth (ACD).</p><p><strong>Settings: </strong>University hospital.</p><p><strong>Design: </strong>Prospective, randomized study.</p><p><strong>Methods: </strong>The first eye was randomized to receive the IOL horizontally or vertically and the second eye had the opposite orientation. Undilated UBM at 0-180o, 45-225o, 90-270o and 135-315oaxes were performed pre- and at 6 weeks. Data on preoperative AL and ACD was collected. a) Primary outcome measure: Change in CS and ACDi in relation to preoperative AL and ACD. b) Secondary outcome measure: Postoperative CS and ACDi in the horizontal vs. vertical IOL placement groups and right vs. left eyes.</p><p><strong>Results: </strong>Forty-six patients (92 eyes) were recruited. After horizontal placement of the IOL, there was a significant correlation between AL and change in horizontal CS for right (r=0.68, p=0.01) and left eyes (r=0.68, p=0.04). After vertical placement, there was a significant correlation between AL and ACD with change in vertical ACDi in right (AL: r=0.71,p=0.01; ACD: r=0.66,p=0.02) and left eyes (AL: r=0.93,p<0.01; ACD: r=0.65,p=0.04) respectively. There was no significant difference in pre- and postoperative change with horizontal and vertical IOL placements in the right vs. left eyes.</p><p><strong>Conclusion: </strong>When the IOL is horizontal in the capsular bag, the horizontal CS increases with decrease in AL. The vertical ACDi increases with increased AL or ACD when the IOL is vertical in the capsular bag.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144553678","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":"Prescription Patterns in Descemet Membrane Endothelial Keratoplasty (DMEK): A European Survey.","authors":"Yexin Ye, Fabio de Rooij, Nicolas Alejandre, Frank J H M van den Biggelaar, Tristan Bourcier, Béatrice Cochener-Lamard, Francisco C Figueiredo, David J Galarreta, Jesper Ø Hjortdal, Gary L A Jones, Naomi Nathan, Rudy M M A Nuijts, Vito Romano, Andreia M Rosa, Berthold Seitz, Marie-José Tassignon, Katrin Wacker, Mor M Dickman","doi":"10.1097/j.jcrs.0000000000001726","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001726","url":null,"abstract":"<p><strong>Purpose: </strong>To assess current prescription patterns in Descemet Membrane Endothelial Keratoplasty (DMEK) in Europe.</p><p><strong>Setting: </strong>Countries affiliated with the European Cornea and Cell Transplantation Registry (ECCTR) and the European Vision Institute Clinical Research Network (EVICR.net).</p><p><strong>Design: </strong>Cross-sectional study (European survey).</p><p><strong>Methods: </strong>An electronic survey was distributed to 16 national societies to gather data on prescription patterns for DMEK. Responses were categorized by three clinical goals: prevention of postoperative endophthalmitis, graft rejection, and pupillary block and glaucoma.</p><p><strong>Results: </strong>Responses from 136 surgeons revealed that medication protocols mainly came from departmental protocols (54%) or personal experiences (48%) rather than national guidelines (22%) (multiple answers were allowed). Infection prevention primarily relied on intraoperative (72%) and postoperative (92%) antibiotics, with preoperative use less common (18%). Steroids were the mainstay for rejection prevention, used intraoperatively (59%), postoperatively (100%), and occasionally preoperatively (13%). Steroids were typically tapered to once daily after six months (46%) and discontinued after varying durations (65%). Dexamethasone was the preferred steroid. For high-risk DMEK, the most common approach was adding another topical (30%) or systemic immunosuppressive drug (24%), such as cyclosporine or mycophenolate. For graft rejection, most respondents increased topical steroid frequency (85%) or added (peri)bulbar steroid injections (42%). Pupillary block and glaucoma prophylaxis mainly involved intraoperative mydriatics (34%); intraocular pressure-lowering agents were rarely used (0.7-2.2%). For steroid-induced ocular hypertension, the common approach was switching to a lower-potency steroid (40%) or reducing steroid frequency (43%).</p><p><strong>Conclusions: </strong>Current prescription patterns in routine and high-risk DMEK vary significantly, reflecting the lack of standardized guidelines.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144484514","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":"Haptics and Axis Stability of Customized Vertical Implantable Collamer Lens Implantation.","authors":"Boliang Li, Mingrui Cheng, Yadi Lei, I-Chun Lin, Xun Chen, Xiaoying Wang","doi":"10.1097/j.jcrs.0000000000001728","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001728","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the postoperative vault, haptic position, and axis stability of vertical implantable collamer lens (ICL) implantation.</p><p><strong>Setting: </strong>Fudan University Eye and ENT Hospital, Shanghai, China.</p><p><strong>Design: </strong>Prospective.</p><p><strong>Methods: </strong>This study included patients who underwent ICL implantation. Three months postoperatively, the vault, haptic position, and axis were measured.</p><p><strong>Results: </strong>Ninety-eight eyes from 98 patients were included. At 3 months postoperatively, the vault was 517.10 ± 200.08 µm in the vertical group and 506.88 ± 204.19 µm in the horizontal group (P = .803). There was a significant difference in the distribution of haptics in the ciliary sulcus (ICS) between the two groups (P = .045). In the vertical group, an average of 0.90 ± 0.83 haptics near the incision and 1.33 ± 0.81 haptics away from the incision were located in the sulcus, showing a significant difference (P = .002). In those undergoing toric ICL implantation, 54% of eyes in the vertical group and 79% in the horizontal group experienced rotation, with a significant difference (P = .042). In the horizontal group, there were significant differences in both the vault and difference value between vertical and horizontal sulcus-to-sulcus (vSTS - hSTS) between the non-rotated and rotated subgroups (P = .019 and P = .035, respectively).</p><p><strong>Conclusion: </strong>Customized vertical ICL implantation does not affect refractive outcomes and achieves an ideal vault. Situating the haptic near the incision in the ciliary sulcus is relatively more difficult for vertical implantation. Vertical implantation improves ICL stability in patients with a large vSTS - hSTS.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475401","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":"Six-month Performance and Safety of an Iris-Fixated Multifocal Intraocular Lens for Presbyopia Correction in Phakic Eyes.","authors":"Joukje C Wanten, Julián Cezón, Rudy M M A Nuijts, Juan A Duran de la Colina, Mariano Royo, Chul Myong Choe, Jae Ho Choi, Chan Soo Park, Il Hwan Koh, Daniel Casado Rodríguez, Noël Jc Bauer, José L Güell","doi":"10.1097/j.jcrs.0000000000001722","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001722","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the six-month effectiveness and safety of a novel foldable multifocal iris-fixated phakic IOL (pIOL) for presbyopia correction.</p><p><strong>Setting: </strong>Multicenter study at 7 sites.</p><p><strong>Design: </strong>Nonrandomized prospective clinical trial.</p><p><strong>Methods: </strong>Presbyopic patients without cataracts undergoing bilateral multifocal pIOL implantation (Ophtec ArtiPlus) were studied. The primary outcome for efficacy was the visual acuity at distance, intermediate, and near. Secondary outcomes included endothelial cell density (ECD), postoperative refraction, binocular defocus curve, vision quality, spectacle independence, and patient satisfaction.</p><p><strong>Results: </strong>A total of 49 subjects (98 eyes) were included. At six months, the mean binocular uncorrected distance intermediate, and near visual acuity were -0.05±0.09, -0.02±0.07, and 0.02±0.08 logMAR, respectively. The ECD remained stable with a mean value of 2771±289 cells/mm2 at six months postoperatively. The mean spherical equivalent was -0.42±0.33 diopters (D), with 95% eyes having a prediction error within ±1.0D and 77% within ±0.5D. The binocular distance-corrected defocus curve showed a visual acuity of 0.20 logMAR or better over a range of +1.0D to -3.5D. Patient satisfaction was high, with a mean score of 3.5 on a 4-point scale, and 83% of the patients reported spectacle independence. 47%, 35%, and 96% of patients reported experiencing glare, halos, and starbursts at well-tolerated levels, respectively. Notably, only 2% of patients found halos and starbursts to be very bothersome.</p><p><strong>Conclusion: </strong>Bilateral ArtiPlus multifocal pIOL implantation demonstrated good visual acuity from distant to near and maintained stable ECD over six months. Patients reported high levels of satisfaction and spectacle independence, despite some optical disturbances.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309966","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 Data Registry Comparing Outcomes of Two Light Adjustable Lenses.","authors":"John Doane, T Hunter Newsom, Stephen Slade, Vance Thompson, Nicholas Bruns, John Vukich","doi":"10.1097/j.jcrs.0000000000001721","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001721","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the clinical performance of the light adjustable lenses (LAL) to the LAL+ with an increased central power to have broader depth of focus.</p><p><strong>Setting: </strong>Private practice clinics.</p><p><strong>Design: </strong>Prospective, non-randomized, non-masked, multi-center.</p><p><strong>Methods: </strong>Clinical data collection registry of patients bilaterally implanted with the LAL or LAL+ (RxSight, Inc.). Outcome measures included subjective manifest refraction; monocular best corrected distance, intermediate and near visual acuity; binocular uncorrected distance, intermediate, and near visual acuity; and binocular uncorrected best focus visual acuity at differing contrast levels.</p><p><strong>Results: </strong>91.1% and 93.5% of LAL and LAL+ eyes had an MRSE within 0.50 D of target, respectively. 92.0% and 89.0% of LAL and LAL+ patients had a binocular uncorrected distance visual acuity (UCDVA) of 20/20 or better after adjustment, respectively. 86.0% and 93.0% of LAL and LAL+ patients had binocular uncorrected best focus visual acuity of J1 or better at 100% contrast, respectively. Distance corrected intermediate and near visual acuity was better with the LAL+ compared to the LAL, consistent with its further broadened depth of focus. Best corrected distance vision was only slightly reduced for LAL+ (1 letter), with both lenses achieving high levels.</p><p><strong>Conclusions: </strong>Both the LAL and LAL+ achieved excellent refractive and binocular visual outcomes at distance, intermediate and near. The broadened depth of focus of the LAL+ was clinically evident and led to less anisometropia. The ability of patients to binocularly select and adjust their refraction according to their visual goal is a unique therapeutic approach to cataract refractive patients.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309961","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":"Prevalence of Cannula Dislocation During Cataract Surgery: a survey.","authors":"Amar Alwitry","doi":"10.1097/j.jcrs.0000000000001724","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001724","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the prevalence of cannula dislocation during cataract.</p><p><strong>Method: </strong>A survey was carried out online via a link sent to members of the UKISCRS, ESCRS and readership of Eye News®.</p><p><strong>Results: </strong>Five hundred and fifty one responses were obtained. 84% of respondents had experienced dislocation of the cannula with 78.04% seeing harm due to this. 50.37% indicated that the last time this occurred there was ocular damage. 22.95% indicated that a cannula dislocation occurred on average once per year, 38.43% experienced it twice per year, 15.66% responded that it occurred 3 times per year, while 6.92% stated that it occurred 4 or more times per year.</p><p><strong>Conclusion: </strong>Cannula dislocation happens not infrequently and ocular harm occurs frequently when this occurs. It is likely that that harm is minimal and therefore the issue is underreported. Further work is required it attempting to prevent avoidable harm from this complication.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309963","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":"Refractive, Visual, and Safety Outcomes of Three Surgical Techniques for Aphakia Correction.","authors":"Liam D Redden, David Hoang, Nitin Rangu, David A Murphy, Kai Ding, Jascha Wendelstein, Kamran M Riaz","doi":"10.1097/j.jcrs.0000000000001723","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001723","url":null,"abstract":"<p><strong>Purpose: </strong>To compare refractive, visual, and safety outcomes of three methods for surgical correction of aphakia: anterior chamber IOL (ACIOL), intrascleral haptic fixation IOL (ISHF-IOL), and Gore-Tex suture fixation of modified eyelet toric IOL (GSF-MET IOL).</p><p><strong>Setting: </strong>Tertiary care academic center.</p><p><strong>Design: </strong>Multi-surgeon retrospective case series.</p><p><strong>Methods: </strong>Review of 357 eyes undergoing one of the above three techniques between 2017 and 2024. Comparative refractive (defocus (spherical equivalent (SE)), astigmatism (refractive cylinder (RefCyl)), and blur (defocus equivalent (DEQ))), visual acuity (corrected distance visual acuity (CDVA)), and safety outcomes (cystoid macular edema (CME) and return to the operating room (ROR) events) were recorded. Due to concerns about IOL tilting with one of the models, a subgroup analysis was performed on two IOL models within the ISHF group. Statistical analyses included descriptive statistics, Chi-Square tests, one-way ANOVA, and two-sample t-testing.</p><p><strong>Results: </strong>All three groups had similar SE (p = 0.87), RefCyl (p = 0.91), and CDVA in eyes without significant comorbidities (p = 0.23). ROR was similar among all groups (p = 0.08). Within the ISHF-IOL group, CT Lucia 602 and Sensar AR40 had similar SE and RefCyl (p = 0.18 and p = 0.15, respectively). CDVA was similar in eyes without significant comorbidities for both IOL models (p = 0.70). ROR was significantly higher with CT Lucia 602 than with Sensar AR40 (p = 0.03).</p><p><strong>Conclusions: </strong>All three surgical techniques can provide good refractive, visual acuity, and safety outcomes. Within the ISHF-IOL group, the Sensar AR40 had lower ROR rates than the CT Lucia 602, with similar CDVA outcomes.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309965","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":"Visual Outcomes and Satisfaction in Patients with High Myopia Following Cataract Surgery with Trifocal Intraocular Lens Implantation.","authors":"Zongli Hu, Xue Zhan, Yan Huo, Jian Ye","doi":"10.1097/j.jcrs.0000000000001718","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001718","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the 3-month outcomes of visual performance and satisfaction of patients with high myopia after implantation of trifocal intraocular lens (IOL).</p><p><strong>Setting: </strong>Army Medical Center of PLA, Chongqing, China.</p><p><strong>Design: </strong>Retrospective case series.</p><p><strong>Methods: </strong>Patients were divided to 2 groups according to the spherical equivalent (SEQ) (high myopia ≤ -6.0D and non-high myopia >-6.0 D). Corrected distance visual acuity (CDVA), uncorrected distance visual acuity (UDVA) at 5m, uncorrected intermediate visual acuity (UIVA) at 60cm, uncorrected near visual acuity (UNVA) at 40cm, defocus curve, refraction, visual quality and satisfaction were compared at 3 months postoperatively.</p><p><strong>Results: </strong>Of 57 patients (89 eyes) enrolled, 32 eyes (36%) were highly myopic and 57 eyes (64%) were non-highly myopic. At 3 months, both groups exhibited smooth defocus curves, with better visual acuity at 0D, -0.5D and -2.0D. Mean SEQ was -0.19(-0.25, 0.00) D and 0.00(-0.25, 0.00) D in the highly myopic and non-highly myopic groups, respectively, with no significant difference (p = 0.34). There were no significant differences between the 2 groups in CDVA, UDVA, UIVA, UNVA, spectacle independence or satisfaction (p > 0.05). Higher order aberrations (HOA) and trefoil aberration were greater in highly myopic group (p < .05).</p><p><strong>Conclusions: </strong>Trifocal IOL implantation provides satisfactory full-range visual acuity on the premise of no complications, with a spectacle independence rate of over 90%. Although HOA and trefoil aberration were greater in patients with high myopia, they achieve comparable visual acuity and spectacle independence rates, with a high satisfaction.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274962","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 paper: \"Depth of focus as a function of spherical aberration using adaptive optics in pseudophakic subjects\" by Tabernero et al.","authors":"Li Wang, Douglas D Koch","doi":"10.1097/j.jcrs.0000000000001705","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001705","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266329","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: \"Depth of focus as a function of spherical aberration using adaptive optics in pseudophakic subjects\".","authors":"Juan Tabernero, Carles Otero, John Kidd, Laura Zahiño Od, Ana Noia, Jose Luis Güell, Pablo Artal, Shahina Pardhan","doi":"10.1097/j.jcrs.0000000000001706","DOIUrl":"https://doi.org/10.1097/j.jcrs.0000000000001706","url":null,"abstract":"","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266333","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}