Journal of Cataract and Refractive Surgery

PURPOSE: This retrospective comparative case series explores visual outcomes in patients with extreme myopia receiving an implantable collamer lens (ICL) at -18.00 diopters (D), with central port, followed by bioptics via laser vision correction (LASIK or PRK) to address residual myopia or myopic astigmatism. SETTING: The study was conducted at Clínica Baviera - Aier Eye Hospital Group, Spain. DESIGN: Retrospective analysis of cases. METHODS: The study assessed uncorrected distance visual acuity, corrected distance visual acuity (CDVA), predictability, safety, efficacy, and patient satisfaction after implantation of the ICL and bioptics...

PURPOSE: To demonstrate the non-inferiority in antimicrobial effectiveness of thrice-repeated applications of 1% povidone-iodine (PI) compared to a single application of 5% PI on the ocular surface in vivo and to evaluate potential toxicity of PI to the corneal epithelium. SETTING: Department of Ophthalmology, Shaare Zedek Medical Center, Jerusalem, Israel. DESIGN: Prospective randomized, double-blind study. METHODS: Patients randomly received either a single application of 5% PI or repeated irrigations of 1% PI on the ocular surface before surgery...

PURPOSE: To describe gender differences in the biometric parameters of a large sample of cataract patients. Cataract surgery has evolved from a vision restoration to a refractive procedure, and population-based studies are vital to optimise normative databases and post-surgical outcomes. SETTING: Miguel Servet University Hospital, Zaragoza, Spain. DESIGN: Retrospective single-centre observational study. METHODS: The study included 34589 eyes (20004 cataract patients)...

OBJECTIVE: To evaluate the safety and efficacy of capsular tension ring and capsular hook (CTR-CH) implantation in Marfan syndrome (MFS) patients with ectopia lentis (EL). SETTING: Eye and ENT Hospital of Fudan University. DESIGN: Retrospective propensity-score matched cohort study. METHODS: This study included MFS patients who had in-the-bag intraocular lens (IOL) implantation assisted by CTR-CH or modified capsular tension ring (MCTR)...

PURPOSE: To compare precision of pupil size measurements of a multifunctional device (Pentacam AXL Wave (OCULUS; abbreviated as Pentacam) and two infrared based pupillometers (PupilX (Albomed), Colvard (Oasis medical)) and to compare repeatability of Pentacam and PupilX. SETTING: Department of Ophthalmology, Goethe-University, Frankfurt, Germany. DESIGN: Prospective, comparative trial. METHODS: Pupil diameter of healthy eyes was measured with Colvard once and Pentacam without (WO) and with glare (WG), PupilX in 0, 1 and 16 lux three times each...

PURPOSE: To evaluate the ESCRS online calculator for intraocular lens (IOL) calculation in children undergoing lens extraction and primary IOL implantation. SETTING: Department of Ophthalmology, Goethe University Frankfurt, Germany. DESIGN: Retrospective, consecutive case series. METHODS: We included eyes that received phacoemulsification and IOL implantation (Acrysof SN60AT, Alcon, Fort Worth, Tx, USA) due to congenital or juvenile cataract...

PURPOSE: To compare the clinical outcomes and rotational stability following implantation of a toric IOL with textured haptics in eyes with normal versus high axial lengths. STUDY DESIGN: Two-arm, retrospective comparative study. SETTING: Nethradhama Superspeciality Eye Hospital, Bangalore. METHODS: This retrospective study included 114 eyes of 114 patients who underwent femtolaser cataract surgery followed by implantation of the HOYA Vivinex Toric monofocal IOL (Model XY1A-SP), of which 62 and 52 eyes belonged to normal (=/<23...

Laser vision correction for residual refractive errors in patients with previous radial keratotomy (RK) presents a challenging task. Different techniques have been used with varying outcomes. This study aimed to systematically review published manuscripts on refractive surgeries in post-RK patients search in PubMed, Scopus, and Web of Science. The final analysis included 35 studies that described a total of 888 eyes. Our systematic review and meta-analysis demonstrated a significant improvement in uncorrected distance visual acuity (UDVA) for photorefractive keratectomy, topography-guided-PRK, wavefront-guided-PRK, and femtosecond- laser-assisted in situ keratomileusis (LASIK), while mechanical microkeratome LASIK did not yield such significant improvements...

PURPOSE: To compare the short-term changes in cornea, retina and choroid of femtosecond laser-assisted cataract surgery (FLACS) with conventional phacoemulsification (CPS) in high myopia patients with cataract. SETTING: Affiliated Hospital of Nantong University, Jiangsu Province, China. DESIGN: Prospective single-center study. METHOD: Demographics, ocular clinical features, ultrasound power, absolute phacoemulsification time, and effective phacoemulsification time were recorded for each patient...

PURPOSE: Posterior capsular rupture (PCR) is a severe complication that occurs during cataract surgery. Patients with posterior polar cataract (PPC) are at a high risk of PCR. Mydriatic agents, despite notable side effects, enhance cataract posterior visibility during slit-lamp examination, aiding PPC identification. An ultra-wide-field (UWF) retinal imaging system, which does not need the aid of mydriatic agents, can visualize the projection (shadow) of a cataract onto the retina in fundus images...

PURPOSE: to evaluate which secondary IOL implantation technique is more successful in achieving the best postoperative results and refractive outcomes between retropupillary iris-claw (ICIOL) and flanged intrascleral IOL fixation with Yamane technique (FIIOL). SETTING: Eye Clinic of the University of Trieste, Italy. DESIGN: retrospective observational study. METHODS: 116 eyes of 110 patients who underwent ICIOL or FIIOL were analysed...

Ocular trauma is an important cause of monocular blindness worldwide. Injury to the lens after blunt or penetrating trauma is common and can result in vision impairment. Selecting the most appropriate therapeutic approaches depend on factors such as the patients' age, mechanism of trauma, and underlying clinical conditions. Early management, especially within childhood, is essential due to the difficulties involved in examination, anatomical variations, as well as accompanying intraocular inflammation, amblyopia, or vitreoretinal adhesions...

PURPOSE: To assess the effect of residual sphere on vision and satisfaction in pseudophakic patients. SETTING: Private clinics, United Kingdom. DESIGN: Retrospective case series. METHODS: A multivariate model evaluated the effect of one-month residual sphere on outcomes of pseudophakic patients. Odds ratios (ORs) were calculated to assess the relative risk of not achieving ≥20/20 monocular uncorrected distance visual acuity (UDVA), ≥20/50 near visual acuity (UNVA), and not being satisfied with vision...

PURPOSE: To explore the influence of preoperative factors, including varying pupil sizes and refractive attributes, on postoperative disability glare in patients undergoing Implantable Collamer Lens (ICL) implantation. SETTING: Second Affiliated Hospital, Nanchang University. DESIGN: Prospective observational study. METHODS: We analyzed the preoperative ocular characteristics and six-month postoperative glare status in eligible patients who underwent EVO-Visian ICL V4c (VICMO) implantation...

PURPOSE: To evaluate visual and refractive outcomes, as well as patient satisfaction after bilateral implantation of an enhanced monofocal intraocular lens (IOL) with emmetropia as a target refraction. SETTING: San Carlos Hospital, Madrid, Spain. DESIGN: Prospective, monocentric, non-comparative study. METHODS: Adults 21 years or older suitable for cataract surgery and with corneal astigmatism < 1.50D were bilaterally implanted with the RayOne EMV IOL and followed up for 3-months...

This is a pooled analysis from two phase III clinical trials investigating a water-free topical cyclosporine 0.1% for the treatment of moderate to severe dry eye. The analyses included 1162 patients: 35% with cataract, 20% with pseudophakia and 45% without cataract. Demographics or baseline characteristics were comparable across groups except for age and vision. The cyclosporine treated patients achieved large mean improvements from baseline by day 15: -3.7 in patients without cataract, -3.2 in patients with cataract and -3...

Blepharitis is a common ophthalmic condition with multiple etiologies and no definitive, universal treatment. The treatment modalities for managing lid margin diseases vary depending on the disease's cause, location, and severity. For anterior blepharitis, management options include eyelid hygiene with warm compresses, eyelid scrubs, baby shampoo, and over-the-counter eyelid cleansers. Topical antibiotics and antibiotic-steroid combination drops/ointments for the eye and eyelid may accompany these. For posterior blepharitis/meibomian gland dysfunction (MGD), at-home warm compress or in-office administration of heat therapy/thermal pulsation treatment that aims to clear obstruction in the meibomian glands and restore meibum secretions to maintain a healthy tear film, are recommended...

PURPOSE: To explore lens capsule pathological characteristics in intraocular lens (IOL) dislocation following cataract surgery in patients with atopic dermatitis (AD). SETTING: University hospital department of ophthalmology. DESIGN: Case series with clinicopathological correlations. METHODS: Lens capsules and surrounding tissues excised during surgery from eyes with AD (AD group) and eyes without AD (non-AD group) with IOL dislocation were histologically evaluated...

PURPOSE: To evaluate subjective and objective outcomes after combined implantation of an extended depth of focus (EDOF) intraocular lens (IOL) and a combined technology multifocal lens (CT-IOL). SETTING: Two clinical practices in the USA. DESIGN: Prospective, unmasked, multi-center, non-randomized bilateral eye study. METHODS: Patients interested in reducing their dependence on spectacles were implanted with an EDOF IOL in the dominant eye and a CT-IOL in the non-dominant eye...

PURPOSE: To compare best-corrected visual acuity (BCVA) outcomes of hyperopic laser in-situ keratomileusis (LASIK) with a postoperative corneal steepness above versus below 49D. SETTING: Care-Vision Laser Centers, Tel-Aviv, Israel. DESIGN: Retrospective study. METHODS: This study included consecutive patients who underwent hyperopic LASIK between January 2013 and December 2019. Hyperopic patients were divided into two groups based on postoperative corneal steepness with steep corneas defined >49...