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Visual outcomes and risk factors of uveitis cataract eyes after phacoemulsification and manual small-incision cataract surgery J Cataract Refract Surg (IF 2.8) Pub Date : 2024-03-01 Madhu Shekhar, Sushmita Chaudhary, Aruna Pai, Vedhanayaki Rajesh, Logesh Balakrishnan, Kamatchi Nagu, Hiruni Kaushalya Wijesinghe
Purpose: To examine the visual outcomes and risk factors of uveitis cataract eyes after phacoemulsification and manual small-incision cataract surgery (MSICS). Setting: Tertiary-care eye hospital in southern India. Design: Retrospective interventional case series. Methods: Of the uveitis eyes operated for cataract surgery between 2017 and 2020, eyes with a minimum of 6 months postoperative follow-up
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Comparison of the effect of capsular bend on the rotational stability between 2 toric intraocular lenses J Cataract Refract Surg (IF 2.8) Pub Date : 2024-03-01 Yiyi Wang, Xicong Lou, Shuyi Qian, Yuanyuan Li, Xueer Wu, Siyan Li, Yalan Wang, Yune Zhao, Pingjun Chang
Purpose: To compare the effect of capsular bend on the rotational stability between 2 toric intraocular lenses (IOLs). Setting: Eye Hospital of Wenzhou Medical University, Hangzhou, Zhejiang Province, China. Design: Prospective study. Methods: Patients with preexisting astigmatism received AcrySof IQ (SN6AT) or TECNIS (ZCT/ZMT) toric IOL during cataract surgery. CASIA2 was used to record the toric
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Real-world socioeconomic determinants of corneal crosslinking in a national cohort J Cataract Refract Surg (IF 2.8) Pub Date : 2024-03-01 Angela S. Gupta, Yinxi Yu, Stephen E. Orlin, Brian L. VanderBeek
Purpose: To characterize recent socioeconomic trends in patients with keratoconus/corneal ectasias undergoing corneal crosslinking (CXL). Setting: A deidentified administrative medical claims database comprised commercial and Medicare Advantage health claims from across the United States. Design: Population-based retrospective cohort study. Methods: This study identified 552 patients with keratoconus/corneal
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Anti-inflammatory medication use after cataract surgery: online survey of practice patterns J Cataract Refract Surg (IF 2.8) Pub Date : 2024-03-01 Abdelhalim A. Awidi, David F. Chang, Kamran M. Riaz, Ximin Li, Scott LaBorwit, Nazlee Zebardast, Divya Srikumaran, Christina R. Prescott, Yassine J. Daoud, Fasika A. Woreta
Purpose: To determine current prescribing patterns for topical or intraocular/periocular anti-inflammatory medications (AIMs) after routine cataract surgery. Setting: kera-net online members. Design: Cross-sectional survey. Methods: An online survey was distributed to subscribers of kera-net, a global online platform sponsored by the Cornea Society. Questions were asked regarding the use of topical
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Comparison of toric intraocular lens alignment between femtosecond laser–assisted capsular marking and digital marking J Cataract Refract Surg (IF 2.8) Pub Date : 2024-03-01 Tim Schultz, Sebastian Hoffmann, H. Burkhard Dick
Purpose: To compare the accuracy of toric intraocular lens (IOL) alignment between femtosecond laser–assisted capsular marking and digital marking. Setting: Ruhr University Eye Clinic, Bochum, Germany. Design: Prospective clinical trial. Methods: In this study, 28 eyes of 23 patients, who underwent femtosecond laser–assisted cataract surgery with implantation of a toric IOL, were included. Intraoperatively
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Optimum pinhole size determination in pinhole pupilloplasty for higher-order aberrations J Cataract Refract Surg (IF 2.8) Pub Date : 2024-03-01 Dhivya Ashok Kumar, Priya Narang, Jack Holladay, Soundari Sivagnanam, Rhea Narang, Ashvin Agarwal, Amar Agarwal
Purpose: To determine optimal pinhole size (OPS) and establish a relationship with visual acuity (VA) and RMS (root mean square) values in cases with higher-order aberrations (HOAs) undergoing pinhole pupilloplasty (PPP). Setting: Private practice, India. Design: Prospective, interventional study. Methods: RMS value for 6-mm–diameter optical zone was determined by Scheimpflug imaging (Pentacam)
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Initial results of DMEK combined with cataract surgery and implantation of the light-adjustable lens J Cataract Refract Surg (IF 2.8) Pub Date : 2024-03-01 David A. Price, Kathleen N. Dudasko, Taylor A. Hall, Marianne O. Price, Francis W. Price
Purpose: To evaluate the use of light-adjustable intraocular lenses (LALs) to maximize visual acuity (VA) postoperatively in eyes undergoing combined Descemet membrane endothelial keratoplasty (DMEK) and cataract surgery. Setting: Private practice, tertiary referral center. Design: Retrospective review of initial case series. Methods: Patients with Fuchs endothelial dystrophy had DMEK combined
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Bilaterally subluxed diffractive intraocular lenses: big expectations and even bigger comorbidities J Cataract Refract Surg (IF 2.8) Pub Date : 2024-03-01 Nicole R. Fram, Ehud Assia, Nandini Venkateswaran, John Morgan Micheletti, Brian Shafer, Iqbal Ike K. Ahmed, Julie M. Schallhorn, Jay M. Stewart
A 78-year-old woman with an ocular history of cataract surgery with a diffractive intraocular lens (IOL) in each eye has developed fluctuating vision, greater in the right eye than the left eye, after 4 years. She has a history of inactive central serous retinopathy and a vision potential of 20/25 + 2 in the right eye and 20/25 in the left eye. She has well-controlled diabetes, hypertension, and hypercholesterolemia
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Reducing ophthalmic surgical waste through electronic instructions for use: a multisociety position paper J Cataract Refract Surg (IF 2.8) Pub Date : 2024-03-01 Emily M. Schehlein, John Hovanesian, Aakriti Garg Shukla, Audrey Talley Rostov, Oliver Findl, David F. Chang
Every ophthalmic surgical supply, including intraocular lenses (IOLs), IOL cartridges, and ophthalmic viscosurgical device syringes, is packaged with instructions for use (IFU). These pamphlets are printed in multiple languages and, in the case of an IOL, significantly increase the size and weight of the packaging. To eliminate this significant and unnecessary source of waste, we recommend that manufacturers
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Limitations of constant optimization with disclosed intraocular lens power formulae J Cataract Refract Surg (IF 2.8) Pub Date : 2024-03-01 Achim Langenbucher, Peter Hoffmann, Alan Cayless, Jascha Wendelstein, Nóra Szentmáry
Purpose: To investigate the effect of formula constants on predicted refraction and limitations of constant optimization for classical and modern intraocular lens (IOL) power calculation formulae. Setting: Tertiary care center. Design: Retrospective single-center consecutive case series. Methods: This analysis is based on a dataset of 888 eyes before and after cataract surgery with IOL implantation
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Oxygen-supplemented and topography-guided epithelium-on corneal crosslinking with pulsed irradiation for progressive keratoconus J Cataract Refract Surg (IF 2.8) Pub Date : 2024-03-01 Brendan Cronin, David Gunn, Clark Y. Chang
Purpose: To investigate the effects of customized topography-guided epithelium-on crosslinking (epi-on CXL) with oxygen supplementation on procedural efficacy and corrected distance visual acuity (CDVA) in patients with progressive keratoconus (KC) at 1 year. Setting: Private eye clinic, Brisbane, Australia. Design: Retrospective, single-center, nonrandomized case series. Methods: Topography-guided
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Accelerated corneal crosslinking with 20′-soaking hydroxypropyl methyl cellulose/riboflavin vs conventional crosslinking with 30′-soaking dextran/riboflavin J Cataract Refract Surg (IF 2.8) Pub Date : 2024-03-01 Lily M. Chacra, Chadi Helwe, Jad F. Assaf, Madeleine Yehia, Serge Baroud, Emilio A. Torres-Netto, Farhad Hafezi, Shady T. Awwad
Purpose: To evaluate and compare functional and structural outcomes of accelerated corneal crosslinking (A-CXL) using riboflavin with hydroxypropyl methyl cellulose (HPMC) vs conventional corneal crosslinking (C-CXL) using riboflavin with dextran. Setting: American University of Beirut Medical Center, Beirut, Lebanon. Design: Retrospective analysis. Methods: Retrospective analysis of 83 eyes of
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Changes in straylight after cataract surgery J Cataract Refract Surg (IF 2.8) Pub Date : 2024-03-01 Nicolaas J. Reus, Thomas J.T.P. van den Berg
Purpose: To investigate straylight in the immediate postoperative period after cataract surgery. Setting: Amphia Hospital, Breda, the Netherlands. Design: Prospective, comparative, single-arm, single-center, single-surgeon study. Methods: Patients underwent cataract surgery on both eyes. 1 eye was randomly selected for implantation with a Clareon CNA0T0 intraocular lens (IOL); the fellow eye received
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Reopening the capsular bag by removing the capsular proliferative membrane to enable secondary in-the-bag intraocular lens implantation in pediatric aphakic eyes J Cataract Refract Surg (IF 2.8) Pub Date : 2024-03-01 Yue Zhou, Yu Zhang, Hui Chen, Bingyu Bai, Qiwei Wang, Zhuoling Lin, Jing Li, Xiulan Zhang, Wan Chen, Weirong Chen
Purpose: To present a surgical technique for reopening the capsular bag in pediatric aphakia. Setting: Zhongshan Ophthalmic Center, Guangzhou, China. Design: Case series study. Methods: Consecutive pediatric patients with bilateral aphakia requiring secondary intraocular lens (IOL) implantation between July 2021 and June 2022 were included. The diameter of the capsular proliferative membranous
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Risk factors associated with haptic malposition in eyes implanted with implantable collamer lenses J Cataract Refract Surg (IF 2.8) Pub Date : 2024-03-01 Weiteng Chang, Lingling Niu, Xingtao Zhou, Xiaoying Wang, Zhiqiang Yu, Yishan Qian
Purpose: To examine the risk factors for haptic malposition in eyes with implantable collamer lens (ICL). Setting: Eye and ENT Hospital, Fudan University, Shanghai, China. Design: Prospective nonrandomized observational study. Methods: This study included 134 (77.9%) of 172 initially enrolled patients who underwent ICL implantation and completed a 1-year follow-up. The extent of haptics present
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Rotational stability of a new hydrophobic acrylic intraocular lens platform J Cataract Refract Surg (IF 2.8) Pub Date : 2024-03-01 Liliana Werner, Vivian S. Hawn, Nour Bundogji, Kevin Eid, Neil Kelkar, Andy Renschler, Nick Mamalis
Purpose: To evaluate rotational stability for ease of rotation of a new intraocular lens (IOL) platform with 4 haptics in an ex vivo model and compare it with a control single-piece lens with 2 open loops. Setting: Intermountain Ocular Research Center, John A. Moran Eye Center, University of Utah, Salt Lake City, Utah. Design: Experimental study. Methods: 10 human cadaver eyes were prepared as
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Attaining the optimal flange technique for transscleral capsular bag stabilization using iris hooks J Cataract Refract Surg (IF 2.8) Pub Date : 2024-03-01 Andreas Schlatter, Martin Kronschläger, Manuel Ruiss, Natascha Bayer, Stéphane Blouin, Oliver Findl
Purpose: To investigate the flange properties of different iris hooks. Setting: Vienna Institute for Research in Ocular Surgery (VIROS), Hanusch Hospital, Vienna, Austria. Design: Laboratory study. Methods: The flanging properties of 4 different iris hooks made from polypropylene (PP), elastic polymer (EP), and nylon were investigated with different heating distances and both with and without forceps
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Microscopic analysis of preinsertion cutting modalities on custom, flexible iris prostheses J Cataract Refract Surg (IF 2.8) Pub Date : 2024-02-01 Michael E. Snyder, Adam R. Leone, Liliana Werner, Nour Bundogji, Vivian Hawn
Purpose: To determine the induced edge effects of different clinically used device postmanufacture modification styles and modalities on custom iris implants. Settings: An academically affiliated multispecialty private practice group and an academic medical center. Design: Laboratory study. Methods: Sample custom iris prostheses were cut using patterns, blades, and surgical instruments described
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Ten-year results of scleral-fixated intraocular lens implantation: outcomes of ab externo scleral fixation with 10-0 polypropylene suture J Cataract Refract Surg (IF 2.8) Pub Date : 2024-02-01 Arjun Desai, Rajeev Reddy Pappuru, Mudit Tyagi
Purpose: To describe long-term visual and anatomical outcomes of sutured scleral-fixated intraocular lens (SF IOL) implantation. Setting: Tertiary eyecare hospital in India. Design: Retrospective interventional noncomparative study. Methods: Postoperative change in corrected distance visual acuity (CDVA) and occurrence of complications were assessed from the patient medical records. Long-term SF
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Mix-and-match vs bilateral trifocal and bilateral EDOF intraocular lens implantation: the spline curve battle J Cataract Refract Surg (IF 2.8) Pub Date : 2024-02-01 Georgios Labiris, Christos Panagis, Panagiota Ntonti, Aristeidis Konstantinidis, Minas Bakirtzis
Purpose: To compare the postoperative visual acuity curves following 3 pseudophakic presbyopic correction techniques. Setting: Department of Ophthalmology, University Hospital of Alexandroupolis, Alexandroupolis, Greece. Design: Prospective, randomized, comparative trial. Methods: For this study, patients with stage 2 Lens Opacities Classification System III cataract were divided into 3 study groups:
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Systematic and objective wet-lab testing of instruments for phacoemulsification: new Formalin Quadrant Model J Cataract Refract Surg (IF 2.8) Pub Date : 2024-02-01 Christina Giger-Lange, Karin Rattenbacher-Kiser, Jessica Di Lanzo, Silvio Di Nardo, Rupert Menapace, Fabian Ille
Purpose: To validate an improved wet-lab model for systematic and objective efficiency testing of instruments for phacoemulsification. Setting: Institute of Medical Engineering, Lucerne University of Applied Sciences and Arts, Lucerne, Switzerland. Design: Experimental study. Methods: Porcine lenses were incubated for different time spans in formalin to simulate different cataract densities. Lenses
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Accuracy comparison of tomography devices for ray tracing–based intraocular lens calculation J Cataract Refract Surg (IF 2.8) Pub Date : 2024-02-01 Felix M. Wagner, Peter Hoffmann, Paul-Rolf Preußner
Purpose: To evaluate the interchangeability of different tomography devices used for ray tracing–based intraocular lens (IOL) calculation. Setting: Eye clinic, Castrop-Rauxel, Germany. Design: Retrospective analysis. Method: Measurements from 3 Placido-Scheimpflug devices and 3 optical coherence tomography (OCT) devices were compared in 83 and 161 other eyes after cataract surgery, respectively
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Comparing the time efficiency of two lasers used in FLACS: real-world observational study J Cataract Refract Surg (IF 2.8) Pub Date : 2024-02-01 Larry Heit, Manasi Datar, Maria Kyriakakos, Cecelia Orcutt, Carine Hsiao, Sun-Ming Pan, Neda Shamie
Purpose: To evaluate time efficiencies in the laser room for 2 different femtosecond laser systems. Setting: 1 private practice in Atlanta, Georgia, and 1 private practice in Los Angeles, California. Design: Prospective, observational, single-masked study. Methods: Patients scheduled to receive femtosecond laser–assisted cataract surgery (FLACS) included those who were not pregnant, had no previous
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Evaluation of a new device to treat negative dysphotopsia J Cataract Refract Surg (IF 2.8) Pub Date : 2024-02-01 Prakhyat Roop, Shreya Nayak, Amogh Kittur, Roop Roop, Namrata Sharma
Purpose: To evaluate the efficacy and safety of Negative Dysphotopsia (ND) Ring implantation for treating and preventing ND. Setting: Multicentric tertiary eye hospitals. Design: Prospective interventional cohort study. Methods: 22 patients with ND were enrolled. Eyes with other ocular structural pathologies (corneal, macular, optic nerve head, retinal, neuro-ophthalmological) were excluded. In
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Postoperative longitudinal refractive changes in children younger than 8 years with ectopia lentis and Marfan syndrome J Cataract Refract Surg (IF 2.8) Pub Date : 2024-02-01 Siyuan Liu, Zhangkai Lian, Charlotte Young, Kityee Ng, Xinyu Zhang, Danying Zheng, Guangming Jin
Purpose: To evaluate the postoperative longitudinal refractive changes in children younger than 8 years with ectopia lentis and Marfan syndrome (MFS). Setting: Zhongshan ophthalmic center, Guangzhou, China. Design: Retrospective cohort study. Methods: Medical data of patients diagnosed with ectopia lentis and MFS that underwent surgery younger than 8 years were collected. Refractive errors and
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Intraoperative complications and visual outcomes of cataract surgery in neovascular age-related macular degeneration J Cataract Refract Surg (IF 2.8) Pub Date : 2024-02-01 Mohammad Z. Siddiqui, Abdelrahman M. Elhusseiny, Mohamed K. Soliman, Muhammad Z. Chauhan, Adam J. Neuhouser, Yit C. Yang, Ahmed B. Sallam
Purpose: To compare the rate of intraoperative complications and visual outcomes in patients with neovascular age-related macular degeneration (NvAMD) and control eyes without NvAMD undergoing phacoemulsification. Setting: Multicenter study. Design: Retrospective, nonrandomized comparative study. Methods: Eyes were classified based on the presence or absence of an NvAMD diagnosis. The main outcomes
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Influence of posterior capsule abnormalities in pediatric cataract surgery J Cataract Refract Surg (IF 2.8) Pub Date : 2024-02-01 Yichao Ding, Jing Zhang, Yusen Huang
Purpose: To report how to manage posterior capsule abnormalities (PCAs) in pediatric cataracts and evaluate the influence of PCAs during intraocular lens (IOL) optic implantation in Berger space surgeries. Setting: Qingdao Eye Hospital of Shandong First Medical University, Qingdao, China. Design: Retrospective case series study. Methods: Pediatric patients with PCAs who underwent cataract surgery
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Visual performance and photic disturbances with diffractive and nondiffractive EDOF intraocular lenses using mini-monovision: randomized trial J Cataract Refract Surg (IF 2.8) Pub Date : 2024-02-01 Marcelo Caram Fernandes, Carlos Yuji Nunomura, André Messias
Purpose: To compare visual performance and photic visual disturbances of patients implanted with 2 different extended depth-of-focus (EDOF) intraocular lenses (IOLs) using mini-monovision. Setting: Ambulatory surgical center at the University of São Paulo in Ribeirão Preto, Brazil. Design: Prospective, examiner-masked, randomized clinical trial. Methods: Patients were assigned to either a bilateral
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Anterior chamber cytokine production and postoperative macular edema in patients with diabetes undergoing FLACS J Cataract Refract Surg (IF 2.8) Pub Date : 2024-02-01 Milena Cioana, Yogesh Patodia, Lili Tong, Hannah H. Chiu, Eric S. Tam, Sohel Somani
Purpose: To evaluate the effect of femtosecond laser-assisted cataract surgery (FLACS) and manual cataract surgery (MCS) on proinflammatory cytokine expression in patients with diabetes vs nondiabetic patients. Setting: Outpatient surgical center in Vaughan, Ontario, Canada. Design: Prospective cohort study. Methods: Patients with diabetes and nondiabetic patients undergoing noncomplicated MCS
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Intracameral phenylephrine for surgical mydriasis and intraoperative floppy-iris syndrome: systemic adverse effects and optimal dose J Cataract Refract Surg (IF 2.8) Pub Date : 2024-02-01 Matthew J. Chua, Natasha Varshney, Tom Eke
Phenylephrine, a potent sympathomimetic, induces mydriasis via iris dilator muscle contraction. Intracameral (IC) phenylephrine has been successfully used in cataract surgery for initial mydriasis, maintaining mydriasis, and management of intraoperative floppy-iris syndrome. Serious systemic adverse events (mainly cardiovascular) have been described with topical phenylephrine drops, but we found very
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Difficult decisions, filtration surgery, and the heartbreak of the numerator J Cataract Refract Surg (IF 2.8) Pub Date : 2024-01-01 Thomas W. Samuelson, Ticiana De Francesco, Iqbal Ike K. Ahmed, Steven J. Gedde, Vikram R. Paranjpe, Kuldev Singh, Jacob W. Brubaker, Davinder S. Grover, Ronald L. Fellman, Amy D. Zhang, Keith Barton
A 70-year-old man had progressive and severe glaucoma in each eye. He was intolerant to dorzolamide, brimonidine, and netarsudil. Each eye had prior selective laser trabeculoplasty (SLT) as well as phacoemulsification plus minimally invasive glaucoma surgery (MIGS) 6 years before current presentation (iStent [Glaukos Corp.] in the right eye and Cypass [Alcon Laboratories, Inc.] in the left eye). Postoperative
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Performance of IOL calculation formulas that use measured posterior corneal power in eyes following myopic laser vision correction J Cataract Refract Surg (IF 2.8) Pub Date : 2024-01-01 Peter I. Kenny, Karim Kozhaya, Paulina Truong, Li Wang, Douglas D. Koch, Mitchell P. Weikert
Purpose: To compare the predictive accuracy of the biometer-embedded Barrett True-K TK and new total corneal power methods of intraocular lens (IOL) power calculation in eyes with prior laser vision correction (LVC) for myopia. Setting: Academic clinical practice. Design: Retrospective case series. Methods: IOL power formulas were assessed using measurements from a swept-source optical coherence
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Using adaptive optics to optimize the spherical aberration of eyes implanted with EDOF and enhanced monofocal intraocular lenses J Cataract Refract Surg (IF 2.8) Pub Date : 2024-01-01 Naren Shetty, Rohit Shetty, Reshma Ranade, Raghav Narasimhan, Pablo Artal, Rudy M.M.A. Nuijts, Abhijit Sinha Roy
Purpose: To assess the effect of change in ocular spherical aberration (SA) with adaptive optics on visual acuity (VA) at different defocus after implantation of extended depth-of-focus (EDOF) and enhanced monofocal intraocular lenses (IOLs). Settings: Narayana Nethralaya Eye Hospital, Bangalore, India. Design: Prospective, longitudinal, observational. Methods: 80 eyes (40 patients) that had cataract
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Evaluating the forces involved in bubble management in DMEK surgery: mathematical and computational model with clinical implications J Cataract Refract Surg (IF 2.8) Pub Date : 2024-01-01 David Lockington, Gordon Brown, Chris Pearce, Lukasz Kaczmarczyk
Purpose: To model postoperative forces involved in Descemet membrane endothelial keratoplasty (DMEK) tissue adherence and bubble management, including the impact of surface tension on graft support, with a view towards clinical applications. Setting: Tennent Institute of Ophthalmology, Glasgow, and James Watt School of Engineering, University of Glasgow, Glasgow, United Kingdom. Design: Mathematical
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Evaluating the safety and operability of asymmetric trapezoid and near-square side-port incision in cataract surgery J Cataract Refract Surg (IF 2.8) Pub Date : 2024-01-01 Biyue Tu, Jidong Zuo, Tingting Peng, Huafang Guo, Julio Ortega-Usobiaga, Yong Wang
Purpose: To compare the accuracy, safety, and consistency of asymmetric trapezoid and near-square side-port incision in cataract surgery. Setting: Aier Eye Hospital of Wuhan University, Wuhan, Hubei Province, China. Design: Prospective pilot study. Methods: This study included patients who underwent phacoemulsification between January 2022 and August 2022. They were divided into Group A and Group
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Photorefractive keratectomy in flat, normal, and steep corneas J Cataract Refract Surg (IF 2.8) Pub Date : 2024-01-01 Eliya Levinger, Roee Arnon, Joseph Pikkel, Tal Yahalomi, Tzahi Sela, Gur Munzer, Michael Mimouni
Purpose: To compare photorefractive keratectomy (PRK) outcomes in patients with different corneal steepness. Setting: Care-Vision Laser Center, Tel-Aviv, Israel. Design: Retrospective comparative chart review. Methods: Patients included in this study underwent wavefront optimized myopic PRK between January 2013 and December 2019. Patients were divided into 3 groups based on the steepness of the
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Comparative evaluation of multiple nomograms for predicting postoperative vault after implantable collamer lens surgery J Cataract Refract Surg (IF 2.8) Pub Date : 2024-01-01 Majid Moshirfar, Kenneth D. Han, Muhammed A. Jaafar, Jordan M. Santos, Joshua S. Theis, Isabella M. Stoakes, Philip C. Hoopes
Purpose: To compare the vault predictability of most available implantable collamer lens (ICL) sizing nomograms and identify which preoperative measurements are predictive of vault. Setting: Private practice in Draper, Utah. Design: Retrospective chart review. Methods: This study was a retrospective analysis of 209 eyes of 106 patients who underwent STAAR Surgical ICL implantation. Analyses were
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Applications of the pinhole effect in clinical vision science J Cataract Refract Surg (IF 2.8) Pub Date : 2024-01-01 Piotr Kanclerz, Ramin Khoramnia, David Atchison
The pinhole effect is commonly used to discriminate uncorrected refractive error from ocular diseases. A small aperture limits the width of light beams entering the eye, thus increasing the depth of focus. The pinhole effect has also been used in spectacles, contact lenses, corneal inlays, and intraocular lenses (IOLs) to improve reading by compensating for loss of accommodative function. Pinhole spectacles
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Multifocal intraocular lens implantation in children with unilateral congenital cataracts J Cataract Refract Surg (IF 2.8) Pub Date : 2024-01-01 Mingming Jiang, Jing Zhang, Yichao Ding, Yusen Huang
Purpose: To evaluate the vision recovery, reconstruction of binocular visual function, and influencing factors after multifocal intraocular lens implantation in children with unilateral congenital cataracts. Setting: University hospital. Design: Prospective clinical study. Methods: In the prospective clinical study, 55 children aged 3 to 14 with unilateral congenital cataracts received multifocal
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Effect of spherical aberration on visual acuity and depth of focus in pseudophakic eyes J Cataract Refract Surg (IF 2.8) Pub Date : 2024-01-01 Karim Kozhaya, Peter I. Kenny, Saina Esfandiari, Li Wang, Mitchell P. Weikert, Douglas D. Koch
Purpose: To assess the performance of 4 intraocular lenses (IOLs) in various spherical aberration (SA) conditions, using the VAO adaptive optics simulator. Setting: Cullen Eye Institute, Baylor College of Medicine, Houston, Texas. Design: Prospective case series. Methods: Distance-corrected visual acuities at distance (CDVA), intermediate (DCIVA), and near (DCNVA) were measured in 42 dilated pseudophakic
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Comparative study of the glistening between four intraocular lens models assessed by OCT and deep learning J Cataract Refract Surg (IF 2.8) Pub Date : 2024-01-01 José Ignacio Fernández-Vigo, Ana Macarro-Merino, Jose Joaquim De Moura-Ramos, Lorena Alvarez-Rodriguez, Barbara Burgos-Blasco, Jorge Novo-Bujan, Marcos Ortega-Hortas, José Ángel Fernández-Vigo
Purpose: To evaluate the glistening in 4 different models of intraocular lenses (IOLs) using optical coherence tomography (OCT) and deep learning (DL). Setting: Centro Internacional de Oftalmología Avanzada (Madrid, Spain). Design: Cross-sectional study. Methods: 325 eyes were assessed for the presence and severity of glistening in 4 IOL models: ReSTOR+3 SN6AD1 (n = 41), SN60WF (n = 110), PanOptix
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Influence of Nd:YAG laser capsulotomy on toric intraocular lens rotation and change in cylinder power J Cataract Refract Surg (IF 2.8) Pub Date : 2024-01-01 Esat Cinar, Berna Yuce, Fatih Aslan, Gökhan Erbakan
Purpose: To investigate toric monofocal intraocular lens (TIOL) rotation and associated changes in cylinder power caused by Nd:YAG laser capsulotomy performed due to posterior capsule opacification (PCO). Setting: Ekol Eye Hospital, Izmir, Turkey. Design: Prospective case series. Methods: 41 eyes of 20 women and 21 men were included in the study. Before and 1 month after Nd:YAG laser capsulotomy
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Pilocarpine HCl 1.25% for treatment of presbyopia after laser vision correction: pooled analysis of two phase 3 randomized trials (GEMINI 1 and 2) J Cataract Refract Surg (IF 2.8) Pub Date : 2024-01-01 Chris W. Lievens, Milton M. Hom, Eugene B. McLaurin, Jiang Yuan, Eleonora Safyan, Haixia Liu
Purpose: To evaluate the efficacy of topical pilocarpine HCl 1.25% (Pilo) in treating presbyopia in individuals with or without a history of laser vision correction (laser-assisted in situ keratomileusis [LASIK] or photorefractive keratectomy [PRK]). Setting: Multiple clinical sites. Design: Pooled analysis of 2 identically designed prospective, randomized, vehicle-controlled studies (GEMINI 1 and
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Paper waste from instructions for use brochures in cataract surgery implant packaging in Europe and the United States J Cataract Refract Surg (IF 2.8) Pub Date : 2023-12-06 Benjamin Stern, Radhika Rampat, David Shahnazaryan, Damien Gatinel
Purpose: To assess the extent of paper waste generated per year by instructions for use (IFUs) brochures included in intraocular lens (IOL) packaging in Europe and the U.S. Setting: Rothschild Foundation Hospital, Paris, France; Royal Free London NHS Foundation Trust; Center for Sight, London, United Kingdom. Design: Experimental study. Methods: A sample of IOLs were collected and each IFU was
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Feeling relaxed about your anesthesia routine? J Cataract Refract Surg (IF 2.8) Pub Date : 2023-12-01 Robert H Osher,Logan DeHoff
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Quality, reliability, technical quality, and readability of online information on pediatric cataract. J Cataract Refract Surg (IF 2.8) Pub Date : 2023-12-01 Abdelrahman M Elhusseiny,Amr K Hassan,Mohamed A Hassan,Salah Abdelnaem,Ahmed B Sallam
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Prospective evaluation of the ESCRS online calculator for calculation of a multifocal intraocular lens J Cataract Refract Surg (IF 2.8) Pub Date : 2023-12-01 Christoph Lwowski, Thomas Kohnen
Purpose: To evaluate a recently introduced ESCRS online calculator for intraocular lens (IOL) calculation of a multifocal IOL in refractive lens exchange and cataract surgery in a prospective setting. Setting: Department of Ophthalmology, Goethe University Frankfurt, Germany. Design: Prospective, consecutive case series. Methods: Eyes that received lens extraction and multifocal IOL implantation
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Evaluation of statistical correction strategies for corneal back surface astigmatism with toric lenses - a vector analysis. J Cataract Refract Surg (IF 2.8) Pub Date : 2023-11-27 Achim Langenbucher,Peter Hoffmann,Alan Cayless,Jascha Wendelstein,Nóra Szentmáry
PURPOSE To compare actual and formula predicted postoperative refractive astigmatism using measured posterior corneal power measurements and four different empiric posterior corneal astigmatism correction models. SETTING Tertiary Care Center. DESIGN Single-center retrospective consecutive case series. METHODS Using a dataset of 211 eyes before and after tIOL implantation (Hoya Vivinex), IOLMaster (IOLM)
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Comparison of long-term outcomes of simultaneous accelerated corneal cross-linking combined with intracorneal ring segment or topography-guided photorefractive keratectomy. J Cataract Refract Surg (IF 2.8) Pub Date : 2023-11-27 Eyal Cohen,Stephan Ong Tone,Michael Mimouni,Raymond Stein,Clara C Chan,Hall F Chew,Theodore Rabinovitch,David S Rootman,Allan R Slomovic,Wendy Hatch,Neera Singal
PURPOSE To compare long term outcomes of simultaneous accelerated corneal cross-linking (CXL) with intrastromal corneal ring segments (CXL-ICRS) to simultaneous accelerated CXL with topography-guided photorefractive keratectomy (CXL-TG-PRK) in progressive keratoconus. SETTING The Kensington Eye Institute and Bochner Eye Institute, Toronto, Canada. DESIGN Prospective non-randomized interventional study
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Comparison of myopic astigmatic correction after cross-assisted SMILE, FS-LASIK, and transPRK J Cataract Refract Surg (IF 2.8) Pub Date : 2023-12-01 Yi-Zeng Yang, Fen-Fen Li, Shuang-Qing Wu, Qi Dai, Fang-Jun Bao, Dan Cheng, Jun Zhu, Yu-Feng Ye
Purpose: To compare astigmatic correction among cross-assisted small-incision lenticule extraction (SMILE), femtosecond laser-assisted in situ keratomileusis (FS-LASIK), and transepithelial photorefractive keratectomy (transPRK). Setting: The Eye Hospital of Wenzhou Medical University, Zhejiang, China. Design: Prospective comparison study. Methods: 154 right eyes of 154 patients with astigmatism
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Complications of foldable intraocular lenses requiring explantation or secondary intervention- 2022 survey with update of long-term trends. J Cataract Refract Surg (IF 2.8) Pub Date : 2023-11-23 Andy Renschler,Neil Kelkar,Kevin Eid,Vivian Hawn,Nour Bundogji,Liliana Werner,Nick Mamalis
PURPOSE To assess the complications that resulted in the explantation or secondary intervention with foldable intraocular lenses (IOLs). SETTING University setting, Salt Lake City, Utah. DESIGN Survey study. METHODS For the 25th consecutive year, surgeons were surveyed regarding complications associated with foldable IOLs requiring explantation or secondary intervention over the 2022 calendar year
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Comprehensive approach for capsular bag fixation in subluxated crystalline lens: preserving the anterior/posterior anatomical segment barrier J Cataract Refract Surg (IF 2.8) Pub Date : 2023-12-01 Adi Porat Rein, Adi Abulafia, Elishai Assayag, Mordechai Goldberg, David Zadok
Purpose: To report the intraoperative performance and postoperative outcomes of crystalline lens removal and in-the-bag intraocular lens (IOL) implantation with scleral-bag fixation by means of capsular tension segments (CTSs) and a capsular tension ring (CTR) in patients with a subluxated lens. Setting: Department of Ophthalmology, Shaare-Zedek Medical Center, Jerusalem, Israel. Design: Retrospective
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Late approach for LASIK flap striae J Cataract Refract Surg (IF 2.8) Pub Date : 2023-12-01 Claudia R. Morgado, Marcony R. Santhiago, W. Allan Steigleman, Elizabeth M. Hofmeister, Maria A. Henriquez, Siamak Zarei-Ghanavati, Sonia H. Yoo, Soosan Jacob, Julie Schallhorn
A 24-year-old man was referred for postrefractive surgery evaluation. The patient had a history of uneventful laser in situ keratomileusis (LASIK) in both eyes 3 months previously. According to the surgeon who originally performed the surgery, on slitlamp examination, only microstriae in the left eye was detected on postoperative day 1 and a more conservative follow-up approach was adopted without
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Efficacy of corneal curvature on the accuracy of 8 intraocular lens power calculation formulas in 302 highly myopic eyes J Cataract Refract Surg (IF 2.8) Pub Date : 2023-12-01 Er Mo, Ke Feng, Qiyuan Li, Jingyuan Xu, Jiaying Cen, Jin Li, Yun-e Zhao
Purpose: To investigate the effect of corneal curvature (K) on the accuracy of 8 intraocular lens formulas in highly myopic eyes. Setting: Eye Hospital and School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, China. Design: Retrospective consecutive case series. Methods: 302 eyes (302 patients) were analyzed in subgroups based on the K value. The mean refractive error, mean
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Comparison of toric intraocular lens calculation with the integrated K method and three single biometric devices J Cataract Refract Surg (IF 2.8) Pub Date : 2023-12-01 Yachana Shah, Angela Jacques, Lior Or, Graham Barrett
Purpose: To compare astigmatic outcomes using the Integrated K method and anterior surface keratometry from 3 different biometric devices. Setting: Lions Eye Institute, Perth, Australia. Design: Retrospective case series. Methods: Eyes of patients who underwent uneventful cataract surgery were analyzed. Predicted postoperative astigmatism was calculated for Integrated K method, IOLMaster 700, Lenstar
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Royal College of Ophthalmologists' National Ophthalmology Database study of cataract surgery: report 11, techniques and complications of local anesthesia for cataract surgery in the United Kingdom J Cataract Refract Surg (IF 2.8) Pub Date : 2023-12-01 Yan Ning Neo, Marta H. Gruszka-Goh, Alice J. Braga, Timothy A. de Klerk, Dan Lindfield, Achim Nestel, Stephen Stewart, Paul H.J. Donachie, John C. Buchan
Purpose: To describe variation in local anesthesia techniques and complications over a 10-year period for cataract surgery in the United Kingdom. Setting: Reporting centers to the Royal College of Ophthalmologists (RCOphth) National Ophthalmology Database (NOD). Design: Retrospective cross-sectional register-based study. Methods: Data from the RCOphth NOD were used. Eligible for analysis were 1 195 882
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Comparison of two objective methods for measuring postoperative toric intraocular lens orientation under the natural pupil J Cataract Refract Surg (IF 2.8) Pub Date : 2023-12-01 Yuanfeng Jiang, Yichen Gao, Jun Yang, Xiteng Chen, Fangyu Zhao, Meisa Li, Song Lin, Shaochong Bu, Fang Tian
Purpose: To evaluate and compare the accuracy of iTrace and CASIA2 in measuring the postoperative orientation of toric intraocular lens (IOL) without mydriasis. Setting: Tianjin Medical University Eye Hospital, Tianjin, China. Design: Prospective cohort study. Methods: Patients with SN6AT toric IOLs implanted after cataract surgery were enrolled. 1 month after surgery, the toric IOL orientation
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Incidence and factors for pseudoaccommodation after monofocal lens implantation: the Monofocal Extended Range of Vision study J Cataract Refract Surg (IF 2.8) Pub Date : 2023-12-01 Mayank A. Nanavaty, Ritika Mukhija, Zahra Ashena, Catey Bunce, David J. Spalton
Purpose: To screen patients with a monofocal intraocular lens (IOL) for incidence of unaided 20/40 and 0.3 LogMAR for distance and near (pseudoaccommodation) and to find factors for pseudoaccommodation. Settings: University Hospitals Sussex NHS Foundation Trust, Brighton, United Kingdom. Design: Prospective study. Methods: This was a single-eye study (ClinicalTrials.gov: NCT04011696). At 3 to 9
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Management of low astigmatism in implantable collamer lens surgery: opposite clear corneal incisions vs toric implantable collamer lens J Cataract Refract Surg (IF 2.8) Pub Date : 2023-12-01 Timoteo González-Cruces, Álvaro Sánchez-Ventosa, Alberto Villarrubia, José-María Sánchez-González, Antonio Cano-Ortiz
Purpose: To compare 2 techniques to correct low astigmatism during implantable collamer lens (ICL) surgery: astigmatic opposite clear corneal incisions (OCCIs) and toric ICL (T-ICL). Setting: Arruzafa Ophthalmological Hospital, Cordoba, Spain. Design: Randomized prospective comparative study. Methods: The study comprised 152 myopic eyes undergoing ICL surgery. Patients were separated into 2 groups:
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Effect of intrastromal corneal ring segments on in vivo corneal biomechanics in keratoconus: 1-year results J Cataract Refract Surg (IF 2.8) Pub Date : 2023-12-01 Riccardo Vinciguerra, Luis Fernández-Vega-Cueto, Cynthia J. Roberts, Arancha Poo-Lopez, Ashkan Eliasy, Jesús Merayo-Lloves, Ahmed Elsheikh, David Madrid-Costa, Carlos Lisa, José F. Alfonso
Purpose: To evaluate the 1-year effects of the implantation of intrastromal corneal ring segments (ICRS) in keratoconus (KC) on the dynamic corneal response (DCR) parameters obtained with the Corvis. Setting: Fernández-Vega Ophthalmological Institute, Oviedo, Spain. Design: Prospective, single-center, clinical study. Methods: Included were patients who underwent ICRS implantation for KC over a