Journal of refractive surgery最新文献

{"title":"Visual Outcomes After Cataract Surgery With the Light Adjustable Lens in Japanese Patients With and Without Prior Corneal Refractive Surgery.","authors":"Kei Ichikawa, Yukihiro Sakai, Hiroto Toda, Yukihito Kato, Kazuo Ichikawa","doi":"10.3928/1081597X-20241002-03","DOIUrl":"https://doi.org/10.3928/1081597X-20241002-03","url":null,"abstract":"<p><strong>Purpose: </strong>To describe Light Adjustable Lens (RxSight, Inc) (LAL) visual and refractive outcomes in a Japanese patient population with and without prior refractive surgery.</p><p><strong>Methods: </strong>In this retrospective chart review of patients with cataract in a private eye clinic, 34 eyes from 21 patients underwent cataract surgery with LAL implantation. Eyes underwent light treatment to adjust the patients' refraction after implantation to meet individual visual goals. Standard visual and refractive outcomes were collected. Contrast sensitivity (to assess quality of vision), clinical defocus and vergence curves (to assess range of vision), and patient satisfaction were also collected.</p><p><strong>Results: </strong>The mean prediction error of the light adjustment was -0.04 ± -0.48. Thirty-one eyes (91%) and 33 eyes (97%) were within ±0.25 and ±0.50 diopters (D) of manifest spherical equivalent target, respectively. Thirty-two eyes (94%) had residual refractive cylinder of 0.50 D or less. The full depth of focus was 3.68 D. Monocular contrast sensitivity shows frequencies equivalent to a normal population aged 50 to 60 years. The mean satisfaction score was 8.8 (scale: 1 to 10). There were no adverse events and no eyes lost corrected distance visual acuity from the light treatment.</p><p><strong>Conclusions: </strong>LALs in cataract refractive surgery hold great promise, including for the Japanese population, which have unique ocular biometrics. By providing a safe procedure and the ability for postoperative adjustments, the LAL provided a tailored approach to vision correction, ultimately improving patient outcomes and satisfaction. <b>[<i>J Refract Surg</i>. 2024;40(11):e854-e862.]</b>.</p>","PeriodicalId":16951,"journal":{"name":"Journal of refractive surgery","volume":"40 11","pages":"e854-e862"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622666","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":"Reading Performance Following Contralateral Implantation of an Extended Depth of Focus (EDOF) IOL and a Hybrid EDOF Multifocal IOL.","authors":"Arthur B van den Berg, Roberta M van den Berg, Karolinne M Rocha, Wallace Chamon, George O Waring","doi":"10.3928/1081597X-20240909-01","DOIUrl":"https://doi.org/10.3928/1081597X-20240909-01","url":null,"abstract":"<p><strong>Purpose: </strong>To assess objective reading performance at intermediate and near distances using the Salzberg Reading Desk (SRD) (SRD Vision) in patients with cataract who underwent the implantation of a diffractive extended depth of focus intraocular lens (EDOF IOL) in the dominant eye and a hybrid multifocal EDOF IOL in the non-dominant eye.</p><p><strong>Methods: </strong>This prospective, non-comparative, interventional study included 46 eyes of 23 patients with cataract who underwent bilateral cataract surgery with implantation of the DFR00V Tecnis Synergy IOL (Johnson & Johnson Surgical Vision) in the non-dominant eye and the DXR00V Tecnis Symfony OptiBlue IOL (Johnson & Johnson Surgical Vision) in the dominant eye. At postoperative 6 months, the Salzburg Reading Desk was used to assess distance-corrected reading performance at near and intermediate distances.</p><p><strong>Results: </strong>Although the monocular reading acuity at the preferred intermediate distance was statistically significantly better in the eyes implanted with the DXR00V IOL, it was better with the DFR00V IOL at preferred near distances. The mean binocular distance-corrected preferred intermediate and near reading acuity was 0.07 ± 0.09 (20/23) and 0.13 ± 0.09 (20/27) logarithm of the minimum angle of resolution, respectively. Other parameters of reading performance, such as reading speed, reading distance, reading time, and smallest scale log print size, were similar between the two IOL groups when assessed monocularly.</p><p><strong>Conclusions: </strong>Implanting a DFR00V IOL in the non-dominant eye and a diffractive DXR00V IOL in the dominant eye resulted in excellent binocular reading acuity and speed at intermediate and near distances. <b>[<i>J Refract Surg</i>. 2024;40(11):e778-e782.]</b>.</p>","PeriodicalId":16951,"journal":{"name":"Journal of refractive surgery","volume":"40 11","pages":"e778-e782"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622579","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: Assessment of PEARL-DGS Performance After Myopic Refractive Surgery.","authors":"Xin Rong, Hua Yan","doi":"10.3928/1081597X-20240930-01","DOIUrl":"https://doi.org/10.3928/1081597X-20240930-01","url":null,"abstract":"","PeriodicalId":16951,"journal":{"name":"Journal of refractive surgery","volume":"40 11","pages":"e906-e907"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622621","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":"Predictability of Keratorefractive Lenticule Extraction Is Equal to Variance of Preoperative Manifest Refraction Measurement.","authors":"Suphi Taneri, Samuel Arba-Mosquera, Anika Förster, H Burkhard Dick","doi":"10.3928/1081597X-20240917-02","DOIUrl":"https://doi.org/10.3928/1081597X-20240917-02","url":null,"abstract":"<p><strong>Purpose: </strong>To compare variance of manifest refraction (MR) measurement and variance of refractive outcomes after keratorefractive lenticule extraction (KLEx) in the same cohort.</p><p><strong>Methods: </strong>This was a retrospective study of consecutive patients attending at least three preoperative refractions before undergoing KLEx. All manifest refractions were performed according to a standard protocol. Additionally, automated refraction, spectacles prescription, wavefront refraction, and tomography/topography were also considered when determining the treatment refraction. Variance of postoperative outcomes was compared to variance of MR measurement.</p><p><strong>Results: </strong>The difference in MR of 153 eyes between the first and last preoperative visit showed a mean pairwise absolute difference of 0.22 ± 0.22 diopters (D) (range: 0.00 to 1.25 D) in spherical equivalent (SE). The 95% limit of agreement (LoA) was within 0.73 D for sphere, 0.60 D for cylinder, and 0.61 D for SE. Standard deviation (SD) for corrected distance visual acuity (CDVA) was 0.06 logarithm of the minimum angle of resolution (logMAR) and the 95% LoA was within 1.3 Snellen lines. The differences between reproducibility of the two last preoperative MR and the variance of postoperative outcomes after KLEx (ie, the isolated repeatability of corneal lenticule extraction) was SD of 0.13 D for sphere, cylinder, and SE, and 11 degrees in axis, respectively.</p><p><strong>Conclusions: </strong>Predictability of KLEx was equal to variance of refraction measurement. Isolated repeatability of the laser treatment was better than the reproducibility of MR. Thus, the authors have shown for the first time that precision of KLEx has reached such a level today that further improvement is limited by MR measurements. <b>[<i>J Refract Surg</i>. 2024;40(11):e814-e823.]</b>.</p>","PeriodicalId":16951,"journal":{"name":"Journal of refractive surgery","volume":"40 11","pages":"e814-e823"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622558","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 Comparison of a Small-Aperture Intraocular Lens Versus a Monofocal Control.","authors":"John Vukich, Satish Modi, Bret L Fisher, Karl Stonecipher, Ling Lin, Magda Michna","doi":"10.3928/1081597X-20240731-02","DOIUrl":"https://doi.org/10.3928/1081597X-20240731-02","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate range of visual acuity, visual quality, and safety of the IC-8 small-aperture (SA) intraocular lens (IOL) (Apthera; Bausch & Lomb, Inc) in patients with cataract.</p><p><strong>Methods: </strong>This was a prospective, multicenter, open-label, parallel-group, non-randomized, examiner-masked, 12-month clinical study conducted at 21 sites in the United States. Included patients (N = 453) received either the SA IOL (targeted to -0.75 diopters) in one eye and a monofocal or monofocal toric IOL (targeted to plano) in the fellow eye (SA IOL group, n = 343) or bilateral monofocal/monofocal toric IOLs (control group, n = 110).</p><p><strong>Results: </strong>At 6 months, the SA IOL group achieved superior binocular uncorrected intermediate and near visual acuity (<i>P</i> < .0001) and equivalent binocular uncorrected distance visual acuity versus the control group. In SA IOL eyes, 99.1% achieved monocular corrected distance visual acuity of 0.3 logarithm of the minimum angle of resolution or better. The SA IOL and control groups had comparable binocular photopic and mesopic contrast sensitivities at 6 months both with and without glare. The SA IOL group reported few visual symptoms overall, although at higher rates than in the control group.</p><p><strong>Conclusions: </strong>The SA IOL group exhibited improved intermediate and near vision, comparable distance vision and binocular contrast sensitivities, and few visual symptoms or adverse events versus the bilateral monofocal/monofocal toric IOL group, suggesting that the SA IOL is an effective option for presbyopia correction at the time of cataract surgery. <b>[<i>J Refract Surg</i>. 2024;40(11):e824-e835.]</b>.</p>","PeriodicalId":16951,"journal":{"name":"Journal of refractive surgery","volume":"40 11","pages":"e824-e835"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622589","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":"Waking Up.","authors":"Sofia Garcia-Ruiz","doi":"10.3928/1081597X-20240924-01","DOIUrl":"https://doi.org/10.3928/1081597X-20240924-01","url":null,"abstract":"","PeriodicalId":16951,"journal":{"name":"Journal of refractive surgery","volume":"40 11","pages":"777"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622672","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":"Ray-tracing-Guided or Q-Value-Adjusted FS-LASIK for Correction of Myopia and Myopic Astigmatism: A Comparative Contralateral Eye Study.","authors":"Yifei Yuan, Ruiyu Zhang, Zizhen Wang, Yuexin Wang, Yu Zhang, Yueguo Chen","doi":"10.3928/1081597X-20240917-01","DOIUrl":"https://doi.org/10.3928/1081597X-20240917-01","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the safety and efficacy of individualized ray-tracing-guided femtosecond laser-assisted in situ keratomileusis (FS-LASIK) for correction of myopia and myopic astigmatism.</p><p><strong>Methods: </strong>This prospective, randomized, double-blind, contralateral eye study included 68 eyes of 34 patients with myopia or myopic astigmatism requiring FS-LASIK treatment. For each patient, one eye was randomly assigned to receive the ray-tracing-guided treatment, whereas the contralateral eye underwent Q-value-adjusted ablation. Uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest refraction spherical equivalent (MRSE), sphere, cylinder, effective optical zone (EOZ), and 6-mm corneal aberrations were measured and analyzed before operation and after a 3-month postoperative follow-up.</p><p><strong>Results: </strong>At 3 months postoperatively, the UDVA of 20/16 or better was measured in 94% of eyes in the ray-tracing group and 85% of eyes in the Custom-Q group (<i>P</i> = .064). Forty-seven percent in the ray-tracing group and 32% in the Custom-Q group gained one or more Snellen lines of CDVA (<i>P</i> = .043). The MRSE, refractive astigmatism, surgically induced astigmatism, and difference vector were better in the Custom-Q group (<i>P</i> < .05). The postoperative corneal HOAs and optical path difference were significantly better in the ray-tracing group (<i>P</i> = .008). The EOZs of the ray-tracing and Custom-Q groups were 5.77 and 5.43 mm (<i>P</i> < .001), and the average ablation depths of the ray-tracing and Custom-Q groups were 100.97 and 85.24 µm (<i>P</i> < .001), respectively.</p><p><strong>Conclusions: </strong>Despite the overcorrection and excessive ablation of corneal tissue, ray-tracing-guided FS-LASIK in clinical practice was found to be safe and effective for myopic correction both with and without astigmatism, particularly in achieving UDVA and inducing fewer corneal HOAs and less OPD. <b>[<i>J Refract Surg</i>. 2024;40(11):e804-e813.]</b>.</p>","PeriodicalId":16951,"journal":{"name":"Journal of refractive surgery","volume":"40 11","pages":"e804-e813"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622578","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":"Corneal Allogenic Intrastromal Ring Segments (CAIRS) Versus Synthetic Segments: A Single Segment Comparative Analysis Using Propensity Score Matching.","authors":"Karen E Asfar, Yara Bteich, Anthony Abou Mrad, Jad F Assaf, Soosan Jacob, Farhad Hafezi, Shady T Awwad","doi":"10.3928/1081597X-20241002-02","DOIUrl":"https://doi.org/10.3928/1081597X-20241002-02","url":null,"abstract":"<p><strong>Purpose: </strong>To compare and assess the visual, refractive, and tomographic results of patients with corneal ectasia treated with either corneal allogenic intrastromal ring segments (CAIRS) or synthetic intrastromal corneal ring segments (ICRS) without concomitant corneal cross-linking.</p><p><strong>Methods: </strong>In this retrospective cohort study, 34 eyes with CAIRS were matched to 34 eyes with ICRS using the propensity score matching technique. Each group was matched on a oneto-one basis using multiple parameters such as central corneal thickness, vertical and horizontal coma, maximum anterior keratometry, steepest keratometry, and age. Visual, refractive, topographic, and aberrometric data were measured at baseline, 1 week, 1 month, 3 months, and 1 year postoperatively.</p><p><strong>Results: </strong>Initial preoperative parameters were similar between the two groups. Both groups showed significant improvement at last follow-up time in corrected distance visual acuity (CDVA) (0.52 ± 0.23 to 0.16 ± 0.18 logarithm of the minimum angle of resolution [logMAR], <i>P</i> < .001; 0.44 ± 0.27 to 0.17 ± 0.21 logMAR, <i>P</i> < .001), topographic astigmatism (4.45 ± 2.75 to 3.14 ± 1.93 diopters [D], <i>P</i> = .001; 3.66 ± 2.22 to 2.36 ± 1.46 D, <i>P</i> = .007), maximum anterior keratometry (55.85 ± 7.53 to 50.69 ± 6.38 D, <i>P</i> < .001; 54.59 ± 6.95 to 50.71 ± 4.51 D, <i>P</i> = .003), and vertical coma (1.49 ± 1.02 to 0.38 ± 0.65 D, <i>P</i> < .001; 1.22 ± 0.75 to 0.52 ± 0.57 D, <i>P</i> < .001) for CAIRS and ICRS, respectively. The improvements observed in both groups at the last follow-up visit were comparable; however, the CAIRS group demonstrated a higher percentage of eyes gaining two or more Snellen lines of CDVA (60% vs 31.58%, <i>P</i> = .04), and a greater magnitude of reduction in vertical coma compared to the ICRS group, although this difference did not reach statistical significance. No major complications were observed with both groups, and one eye lost one CDVA line in the ICRS group. The mean thickness of the CAIRS segments at the last follow-up visit was 401.06 ± 100.12 µm, compared to 435.29 ± 26.19 µm for ICRS. Both CAIRS and ICRS demonstrated significant compression of stromal thickness above the segment (36.19% and 32.00%, respectively).</p><p><strong>Conclusions: </strong>When adequately matched for preoperative disease type and severity, eyes with CAIRS had a similar and notable clinical improvement compared to ICRS, with possibly better improvement in vertical coma and CDVA. <b>[<i>J Refract Surg</i>. 2024;40(11):e863-e876.]</b>.</p>","PeriodicalId":16951,"journal":{"name":"Journal of refractive surgery","volume":"40 11","pages":"e863-e876"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622600","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":"Reasons for Re-treatment Following Monovision Laser Refractive Surgery.","authors":"Margarita Safir, Roni Kastin, Igor Kaiserman, Tzahi Sela, Gur Munzer, Michael Mimouni","doi":"10.3928/1081597X-20241010-01","DOIUrl":"https://doi.org/10.3928/1081597X-20241010-01","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the incidence and causes for re-treatment following monovision laser refractive surgery in a large data study spanning a decade.</p><p><strong>Methods: </strong>The setting for this retrospective comparative study was Care Vision Laser Center, Tel Aviv, Israel. This study included patients aged 36 to 60 years who underwent monovision laser vision correction at the Care Vision Laser Centers, Israel, from January 2012 to December 2022. Demographic, preoperative, and postoperative data were retrieved for analysis.</p><p><strong>Results: </strong>Overall, 3,674 eyes of 1,847 patients were included. Re-treatment was performed in 1.28% (n = 47) of eyes, 0.84% (n = 31) distance-targeted and 0.44% (n = 16) near-targeted. Monovision reversal in near-targeted eyes occurred due to overcorrection (37.5%, n = 6 of 16), despite being on target (25%, n = 4 of 16), insufficient myopia (18.8%, n = 3 of 16), and de novo astigmatism (12.5%, n = 2 of 16). One eye was targeted for near vision due to de novo astigmatism. Re-treatment in distance-targeted eyes was due to myopic undercorrection (45.2%, n = 14 of 31), myopic regression (19.4%, n = 6 of 31), myopic overcorrection (12.9%, n = 4 of 31), hyperopic regression (6.5%, n = 2 of 31), astigmatism undercorrection (6.5%, n = 2 of 31), de novo astigmatism (6.5%, n = 2 of 31), and astigmatism regression (3.2%, n = 1 of 31). Re-treatment was more likely in distance targeted eyes of patients with monovision compared to near-targeted eyes (<i>P</i> = .025) and patients without monovision (<i>P</i> < .001).</p><p><strong>Conclusions: </strong>In monovision laser vision correction, retreatment in the near-targeted eye is rare when the ideal near target (-1.50 to -1.25 diopters) is achieved. However, the distance-targeted eye is more likely to require re-treatment. Surgeons can plan monovision surgery and advise patients accordingly. <b>[<i>J Refract Surg</i>. 2024;40(11):e892-e897.]</b>.</p>","PeriodicalId":16951,"journal":{"name":"Journal of refractive surgery","volume":"40 11","pages":"e892-e897"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622615","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":"Non-inferiority of Cataract Surgery in a Stand-Alone Unidirectional Airflow System Versus in a Conventional Operating Room: A Retrospective Study.","authors":"Sarah Partouche, Filippo Fabro, Artus Arnaud, Lucile Senicourt, Damien Gatinel, Christophe Panthier","doi":"10.3928/1081597X-20241009-01","DOIUrl":"https://doi.org/10.3928/1081597X-20241009-01","url":null,"abstract":"<p><strong>Purpose: </strong>To demonstrate the non-inferiority of a stand-alone unidirectional airflow system, the SurgiCube (Surgi-Cube International BV), for cataract surgery compared to a conventional operating theater (OT).</p><p><strong>Methods: </strong>This was a retrospective and comparative cross-sectional study conducted at the Rothschild Foundation, Paris, France. All patients who underwent cataract surgery using the SurgiCube between February 2020 and February 2023 were included and compared to a separate group of patients with cataract surgery performed in a conventional OT and under topical anesthesia during the same period. Patients with less than 1 month of follow-up after surgery were excluded. We collected relevant information from the patient's medical records. Main outcome measures, incidence of endophthalmitis, intraoperative and postoperative complication incidence, 1-month logarithm of minimum angle of resolution (logMAR) visual acuity and intraocular pressure, and operating times were analyzed.</p><p><strong>Results: </strong>A total of 1,901 eyes in the SurgiCube group were compared to 5,474 eyes in the OT group. The occurrence of endophthalmitis was 0.05% (n = 1) in the SurgiCube group versus 0.07% (n = 4) in the OT group (<i>P</i> = 1.00; odds ratio = 0.72 [95% CI = 0.01 to 7.28]). The percentage of procedures with at least one perioperative complication was 2.6% in the SurgiCube group and 2.7% in the OT group (<i>P</i> = .87; odds ratio = 0.96 [95% CI = 0.68 to 1.34]). The percentage of procedures with a postoperative complication was 6.31% in the SurgiCube group and 6.6% in the OT group (<i>P</i> = .59; odds ratio = 0.94 [95% CI = 0.75 to 1.17]. Average visual acuity at 30 days was 0.04 logMAR in the SurgiCube group and 0.07 logMAR in the OT group (<i>P</i> = .62). The average operating times were 16.8 and 19.7 minutes for the SurgiCube and OT groups, respectively (<i>P</i> < .001). The average occupation room times were 26.2 and 32.3 minutes for the SurgiCube and OT groups, respectively (<i>P</i> < .001).</p><p><strong>Conclusions: </strong>Cataract surgery in the SurgiCube seems to be non-inferior to cataract surgery in a conventional OT. <b>[<i>J Refract Surg</i>. 2024;40(11):e884-e891.]</b>.</p>","PeriodicalId":16951,"journal":{"name":"Journal of refractive surgery","volume":"40 11","pages":"e884-e891"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622631","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}