Journal of refractive surgery最新文献

{"title":"Reply: Vector Planning and Ocular Residual Astigmatism (ORA) Source Reference and Other KLEx Studies.","authors":"Qing Su, Shuang Liang, Huazheng Cao, Mengyuan Shan, Yan Wang","doi":"10.3928/1081597X-20250224-01","DOIUrl":"https://doi.org/10.3928/1081597X-20250224-01","url":null,"abstract":"","PeriodicalId":16951,"journal":{"name":"Journal of refractive surgery","volume":"41 3","pages":"e288-e289"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605233","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":"Spatial Variation in Ciliary Body Morphology and the Effect on Haptic Position and Peripheral Vault After ICL Implantation.","authors":"Ruoyan Wei, Zhongjun Tang, Meipan Shi, Mingrui Cheng, Chiwen Cheng, Xiaoying Wang, Xingtao Zhou, Shengtao Liu","doi":"10.3928/1081597X-20250123-01","DOIUrl":"10.3928/1081597X-20250123-01","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the association of local ciliary body morphology with the haptic position and peripheral vault.</p><p><strong>Methods: </strong>This retrospective observational study included 95 eyes of 59 patients treated with the EVO Implantable Collamer Lens (ICL) (STAAR Surgical). Ciliary body morphology parameters (ciliary process length [CPL], ciliary sulcus width [CSW], and scleral spur-ciliary process distance [SCD]), the relative position of ICL haptic to the ciliary process, the haptic-related parameters (the final tip point of ICL haptic [ftICL haptic] and lowest point of ICL haptic), and peripheral vault in the location of each haptic were measured with ultrasound biomicroscopy 3 months after surgery. Factors associated with ftICL haptic and peripheral vault were evaluated.</p><p><strong>Results: </strong>The haptics were in the ciliary sulcus, on the anterior angle of the ciliary process, within the ciliary process, and under the ciliary process in 45.5%, 25.4%, 21.8%, and 7.4% of cases, respectively. The peripheral vault in the infero-temporal quadrant was significantly greater than that in the other three quadrants (all <i>P</i> < .05). Local SCD, CPL, and CSW were associated with ftICL haptic, whereas local CSW, ftICL haptic, and spherical equivalent were associated with peripheral vault (all <i>P</i> < .05).</p><p><strong>Conclusions: </strong>Local ciliary body morphology was associated with the haptic position and both factors collectively influence the peripheral vault. To achieve optimal outcomes, local ciliary body morphology should be considered when selecting ICL size and implantation orientation. <b>[<i>J Refract Surg</i>. 2025;41(3):e199-e206.]</b>.</p>","PeriodicalId":16951,"journal":{"name":"Journal of refractive surgery","volume":"41 3","pages":"e199-e206"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605235","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":"Effect of Capsular Tension Ring on the Accuracy of Nine New-Generation IOL Formulas in Long Eyes.","authors":"Jialin Xu, Ke Feng, Er Mo, Yitong Xu, Chenyuan Zhu, Yun-E Zhao, Jin Li, Fang Huang","doi":"10.3928/1081597X-20241204-01","DOIUrl":"10.3928/1081597X-20241204-01","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the effect of capsular tension rings (CTRs) on the accuracy of nine new-generation intraocular lens (IOL) formulas in long eyes.</p><p><strong>Methods: </strong>A total of 106 eyes (106 patients) with CTR (CTR group) and another 106 eyes (106 patients) without CTR (NCTR group) were analyzed. The differences in mean prediction error, standard deviation, mean absolute prediction error (MAE), median absolute prediction error (MedAE), root mean square absolute prediction error (RMSAE), and percentage of eyes within ±0.25, ±0.50, ±0.75, ±1.00, and greater than ±1.00 diopter (D) were compared.</p><p><strong>Results: </strong>In the CTR group, only the Hoffer QST and VRF-G formulas showed significantly lower MedAE compared to the NCTR group. There was no statistically significant difference found among other formulas. The VRF-G and Hoffer QST formulas had lower MAE (0.351 to 0.367) than the Kane (0.469) (<i>P</i> < .05). The K6 and Pearl-DGS formulas had higher MAE (0.441 to 0.452) than the Zhu-Lu (0.351) and Emmetropia Verifying Optical (EVO) 2.0 (0.377) (<i>P</i> < .05). In the NCTR group, the Zhu-Lu and RBF 3.0 formulas had lower MAE (0.340 to 0.411) compared to the Kane (0.477) (<i>P</i> < .05). The Zhu-Lu and EVO 2.0 formulas also had lower MAE (0.340 to 0.363) than Pearl-DGS (0.429) (<i>P</i> < .05), and the EVO 2.0 had lower MedAE (0.273) than the Kane (0.433) (<i>P</i> < .05). The percentage of eyes within ±0.50 D (76 to 85, 71.70% to 80.19%) of the RBF3.0, K6, EVO 2.0, and Zhu-Lu formulas were higher than Kane (53.77%) (<i>P</i> < .02).</p><p><strong>Conclusions: </strong>CTR implantation does not improve the refractive prediction accuracy of the most new generation IOL formula. The Zhu-Lu formula is recommended for use in long eyes, regardless of CTR implantation. <b>[<i>J Refract Surg</i>. 2025;41(2):e114-e119.]</b>.</p>","PeriodicalId":16951,"journal":{"name":"Journal of refractive surgery","volume":"41 2","pages":"e114-e119"},"PeriodicalIF":2.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143408717","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":"Insondable (Impenetrable).","authors":"Olga Davó-Alonso","doi":"10.3928/1081597X-20241230-06","DOIUrl":"https://doi.org/10.3928/1081597X-20241230-06","url":null,"abstract":"","PeriodicalId":16951,"journal":{"name":"Journal of refractive surgery","volume":"41 2","pages":"90"},"PeriodicalIF":2.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143408723","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: Refractive Outcomes After Scleral Fixation of the Carlevale Intraocular Lens.","authors":"Nathan Courat, Clément Giraud, Nicolas Leveziel","doi":"10.3928/1081597X-20250127-01","DOIUrl":"https://doi.org/10.3928/1081597X-20250127-01","url":null,"abstract":"","PeriodicalId":16951,"journal":{"name":"Journal of refractive surgery","volume":"41 2","pages":"e186-e187"},"PeriodicalIF":2.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143408158","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 the Accuracy of Toric Intraocular Lens Formulas Used by the Online Calculator of the European Society of Cataract and Refractive Surgeons.","authors":"Chang Liu, Mengyu Wang, Da Long, Ye Zhang, Yan Chen, Qiang Wu","doi":"10.3928/1081597X-20241219-01","DOIUrl":"10.3928/1081597X-20241219-01","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the precision of toric intraocular lens (IOL) formulas used by the online calculator of the European Society of Cataract and Refractive Surgeons (ESCRS).</p><p><strong>Methods: </strong>This retrospective study included patients undergoing phacoemulsification with toric IOL implantation from July 2021 to June 2023 in Shanghai Sixth People's Hospital, Shanghai Jiao Tong University School of Medicine. The mean absolute prediction error (PE), standard deviation of the PE, and proportion of eyes with a PE within ±0.25, ±0.50, ±0.75, and ±1.00 diopters (D) were calculated by vector analysis.</p><p><strong>Results: </strong>Among the 85 included patients, the mean and median absolute PE determined from the Barrett estimated posterior corneal astigmatism (EPCA), EVO 2.0, and Hoffer QST toric formulas varied considerably from those derived using the Kane toric formula (<i>P</i> < .001, <i>P</i> = .045, <i>P</i> < .001, respectively). For all toric formulas, the centroid of the PE deviated considerably from zero (<i>P</i> < .001). The EVO 2.0 toric formula yielded the best accuracy (61.2%) within ±0.50 D, followed by the Barrett EPCA (58.8%), Hoffer QST (58.8%), Barrett measured posterior corneal astigmatism (51.8%), and Kane toric (51.8%) formulas. However, the percentages of PEs 0.50 D or less and 0.75 D or less with all of the toric calculators did not differ significantly (<i>P</i> > .05). The Hoffer QST displayed the least mean absolute PEs in the groups with different astigmatism types, as well as in the groups with medium and long axial length and medium keratometry.</p><p><strong>Conclusions: </strong>The newly introduced ESCRS online toric calculator is a useful tool that yielded consistent results in this study. The EVO 2.0 and Hoffer QST toric formulas showed better performance, although the improved accuracy is likely to have minimal clinical importance. <b>[<i>J Refract Surg</i>. 2025;41(2):e120-e130.]</b>.</p>","PeriodicalId":16951,"journal":{"name":"Journal of refractive surgery","volume":"41 2","pages":"e120-e130"},"PeriodicalIF":2.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143408765","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 Comparison of Clinical Outcomes After Bilateral Implantation of Diffractive Trifocal Extended Depth-of-Focus and Diffractive Trifocal Hydrophobic Intraocular Lenses.","authors":"Zoltán Z Nagy, Peter Dorman, Szilard Szalczer, Huba Kiss","doi":"10.3928/1081597X-20241113-01","DOIUrl":"10.3928/1081597X-20241113-01","url":null,"abstract":"<p><strong>Purpose: </strong>To compare clinical outcomes for patients implanted with either FineVision HP or FineVision Triumf intraocular lenses (IOL) (Beaver-Visitec International, Inc) following cataract surgery.</p><p><strong>Methods: </strong>Twenty-six patients bilaterally implanted with the HP IOL and 27 patients with the Triumf IOL were followed up for 6 months in a prospective randomized study. Refraction, uncorrected and corrected distance visual acuity (CDVA), uncorrected and distance-corrected intermediate visual acuity (DCIVA), and uncorrected and distance-corrected near visual acuity (DCNVA) were evaluated. Defocus curves and contrast sensitivity were also measured. Patient-reported outcomes were assessed using the National Eye Institute Visual Function Questionnaire 25, and adverse events were registered.</p><p><strong>Results: </strong>Ninety-four percent of the eyes in both groups were within ±1.00 diopter (D) of spherical equivalent. All of the patients had 20/20 or better binocular CDVA in both groups and 96% and 100% had 20/25 or better binocular CDIVA in the Triumf and HP IOL groups, respectively, being reduced to 32% and 91.7% for DCNVA, respectively. Differences between groups were statistically significant from -2.00 to -4.50 D with better visual acuity outcomes for the HP IOL group (<i>P</i> < .01). Better monocular photopic contrast sensitivity was found for the Triumf IOL group at 12 and 18 cycles per degree (<i>P</i> < .01). There was a statistically significant increase of the overall composite score in both groups before and after surgery (<i>P</i> < .001). Spectacle independence was similar between groups for distance and intermediate vision but higher for the HP IOL for near vision (96% versus 75%). There were no adverse events related to the IOLs.</p><p><strong>Conclusions: </strong>Both IOLs showed good and comparable distance and intermediate visual acuities but near vision was better for the HP IOL. This model provided higher spectacle independence for near vision. <b>[<i>J Refract Surg</i>. 2025;41(3):e102-e113.]</b>.</p>","PeriodicalId":16951,"journal":{"name":"Journal of refractive surgery","volume":"41 2","pages":"e102-e113"},"PeriodicalIF":2.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143408690","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":"Evaluating the Effectiveness and Corneal Aberrations After FS-LASIK and SMART (SPT-Guided TransPRK) Surgery for Myopia and Astigmatism: Retrospective Study.","authors":"Yanzhen Xue, Yonghong Guo, Jun Zhang","doi":"10.3928/1081597X-20241230-04","DOIUrl":"10.3928/1081597X-20241230-04","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effects of SMART surgery (SCHWIND eye-tech-solutions GmbH) on corneal abnormalities and refractive errors compared to traditional femtosecond laser-assisted laser in situ keratomileusis (FSLASIK).</p><p><strong>Methods: </strong>A retrospective case series was conducted at Xi'an Gucheng Aier-Eye Hospital, analyzing data from 83 patients who underwent FS-LASIK and SMART procedures in 2021. Pentacam (Oculus Optikgeräte GmbH) measurements were taken before surgery and at 1, 3, and 6 months postoperatively to assess corneal higher order aberrations, spherical aberrations, and coma. Statistical analyses included an independent Student test between the two groups. Visual acuities were compared by the Mann-Whitney <i>U</i> test, paired <i>t</i>-tests, and repeated measures analysis of variance.</p><p><strong>Results: </strong>Comparison of visual acuity at 1 week and 1 month postoperatively showed significant differences between the FSLASIK and SMART groups. After 6 months, a higher percentage of patients in the SMART group achieved spherical equivalent within +1.00 diopter compared to the FS-LASIK group. Both groups showed a shift from negative to positive Q-values, indicating improved visual quality. Corneal spherical aberrations and horizontal coma were more prevalent at 6 months postoperatively in both groups compared to preoperatively.</p><p><strong>Conclusions: </strong>In the long term, SMART surgery demonstrates comparable results to FS-LASIK for myopia and astigmatism correction. Higher order aberrations were less common after SMART surgery compared to FS-LASIK. These findings suggest that SMART surgery may be a suitable option for patients seeking refractive surgery, considering its potential benefits for visual quality and corneal health. <b>[<i>J Refract Surg</i>. 2025;41(2):e164-e172.]</b>.</p>","PeriodicalId":16951,"journal":{"name":"Journal of refractive surgery","volume":"41 2","pages":"e164-e172"},"PeriodicalIF":2.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143408720","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 Performance and Patient Satisfaction of Bilaterally Implanted Extended Depth of Focus Intraocular Lens: Outcomes of a Multicenter Registry.","authors":"Frank Howes, Laureano A Rementeria-Capelo, Francisco Poyales, Armand Borovik, Ramin Khoramnia, Caridad Perez-Vives, Rudy M M A Nuijts","doi":"10.3928/1081597X-20241230-01","DOIUrl":"10.3928/1081597X-20241230-01","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate visual performance, patient satisfaction, and spectacle independence in patients bilaterally implanted with AcrySof IQ Vivity intraocular lenses (IOLs) (Alcon Laboratories, Inc) during cataract or refractive lens exchange (RLE) surgery.</p><p><strong>Methods: </strong>This multicenter, ambispective, non-interventional registry study was conducted in Europe, Australia, and New Zealand. At the first follow-up visit, occurring between 3 and 6 months after IOL implantation, binocular uncorrected and corrected distance visual acuities at distance (UDVA/CDVA), intermediate (UIVA/DIVA 66 cm), and near (UNVA/DNVA 40 cm) were evaluated using the logarithm of the minimum angle of resolution (logMAR) chart. Patient satisfaction, spectacle independence, visual disturbances, and device deficiencies were also assessed.</p><p><strong>Results: </strong>The final analysis included 885 patients, with 790 (89.3%) and 82 (9.3%) patients who underwent cataract and RLE, respectively, where approximately 30% had one or more ocular comorbidity. Mean ± standard deviation logMAR (Snellen) UDVA, UIVA, and UNVA were 0.012 ± 0.102 (∼20/20), 0.088 ± 0.118 (∼20/25), and 0.256 ± 0.154 (∼20/40) for the cataract cohort and -0.005 ± 0.088 (∼20/20), 0.054 ± 0.141 (∼20/25), and 0.213 ± 0.151 (∼20/32) for the RLE cohort, respectively. The proportion of patients reporting spectacle independence at distance, intermediate, and near was 87.9%, 77.6%, and 46.1% for the cataract and 86.6%, 79.3%, and 59.8% for the RLE cohorts. The majority of patients among the cataract (92.1%) and RLE (85.4%) cohorts were satisfied with their postoperative sight, whereas 91.8% of the cataract and 84.1% of the RLE cohort reported no visual disturbances. No device deficiencies were reported.</p><p><strong>Conclusions: </strong>In this real-world study, patients bilaterally implanted with AcrySof IQ Vivity IOLs demonstrated good visual performance and the majority reported spectacle independence for distance to intermediate, high visual satisfaction, and low levels of visual disturbances across both cohorts, despite approximately 30% who reported 1 or greater ocular comorbidity. <b>[<i>J Refract Surg</i>. 2025;41(2):e131-e143.]</b>.</p>","PeriodicalId":16951,"journal":{"name":"Journal of refractive surgery","volume":"41 2","pages":"e131-e143"},"PeriodicalIF":2.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143408225","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":"Analysis of Crystalline Lens Tilt and Decentration Using a Fully Automated Swept-Source Optical Coherence Tomography Biometer.","authors":"Robert Montés-Micó, Maria Nilsson, Rune Brautaset, Abinaya Priya Venkataraman, Alberto Domínguez-Vicent","doi":"10.3928/1081597X-20241230-03","DOIUrl":"10.3928/1081597X-20241230-03","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the repeatability of a fully automated swept-source optical coherence tomography (SS-OCT) biometer to measure healthy crystalline lens decentration and tilt and their correlation with other biometric parameters.</p><p><strong>Methods: </strong>In this prospective study, 135 eyes of 135 patients were included. Ocular biometric parameters including crystalline decentration and tilt were measured three times with the Eyestar 900 SS-OCT (Haag-Streit AG). The repeatability was analyzed with the within-subject standard deviation (S_w), coefficient of variability, and coefficient of repeatability. Other biometric parameters such as keratometry (K1 flat and K2 steep), anterior chamber depth (ACD), lens thickness (LT), and axial length (AL) were also analyzed to explore possible relationships.</p><p><strong>Results: </strong>For K1, K2, ACD, LT, and AL, S_w values were 0.07 diopters (D), 0.14 D, 0.01 mm, 0.02 mm, and 0.01 mm, respectively. For X and Y decentration and tilt, S_w values were 0.01, 0.02, and 0.39 mm, respectively. The correlation coefficient (<i>r</i>) between the crystalline lens tilt was low (<i>r</i> < -0.300) for all ocular biometric parameters, and was only associated with the AL (<i>P</i> < .001, <i>r</i> = -0.295). The <i>r</i> value between the decentration along the X and Y direction and the ocular biometric parameters was in all cases lower than 0.300. There was only a correlation between the decentration (Y direction) and K2 and ACD parameters (<i>P</i> < .001, <i>P</i> = .007, respectively). The linear regression parameters resulted in a slope value lower than -0.15 between any direction of the decentration and the other ocular biometric parameters.</p><p><strong>Conclusions: </strong>The Eyestar 900 provides repeatable measurements for crystalline lens decentration and tilt. AL was the only biometric parameter correlated with the crystalline lens tilt, and keratometry, ACD, and LT were correlated with the crystalline lens decentration along the Y direction. <b>[<i>J Refract Surg</i>. 2025;41(2):e155-e163.]</b>.</p>","PeriodicalId":16951,"journal":{"name":"Journal of refractive surgery","volume":"41 2","pages":"e155-e163"},"PeriodicalIF":2.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143408763","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}