Journal of Cataract and Refractive Surgery

PURPOSE: Evaluate the impact of high vs low intraoperative IOP during phacoemulsification on anterior and posterior physiology. SETTING: Private practice in Des Moines, Iowa. DESIGN: Prospective, randomized, paired-eye clinical trial of patients anticipating bilateral cataract surgery. METHODS: Twenty-seven subjects randomized at the time of their first cataract surgery to either low intraocular pressure (IOP) or high IOP group...

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PURPOSE: Mydriatic pupil repair by cerclage has been thought to be a permanent fix for glare, visual function and cosmesis. Iris repair can develop late cheese-wiring of cerclage sutures with resultant loss of benefits. We describe a case series of cerclage failures due to cheese-wiring. SETTING: Cincinnati Eye Institute, Cincinnati, Ohio. DESIGN: Retrospective single-surgeon case series. METHODS: A retrospective chart review sought patients that underwent iris cerclage at the Cincinnati Eye Institute who later developed suture cheese-wiring...

PURPOSE: To compare maximum tensile strength between commonly used 3-piece intraocular lens (IOL) for flanged intrascleral haptic fixation (FISHF). SETTING: Willis-Knight Eye Institute. DESIGN: Laboratory investigation. METHODS: Haptic tensile strength was compared with MA60AC, CT Lucia 602, AR40E, and the light-adjustable lens (LAL). Haptic strength with a 24D (diopter) IOL was compared across all lenses, as well as a range of 10-30D with the MA60AC...

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PURPOSE: To investigate the effect of scleral tunnel length on the effective lens position and tilt of the intraocular lens (IOL) in flanged intrascleral haptic fixation (ISHF) using anterior segment optical coherence tomography (AS-OCT). SETTING: Tertiary institution. DESIGN: Retrospective case-control study. METHODS: This study included 55 and 42 eyes that underwent ISHF with 1.0- and 2.0-mm scleral tunnels, respectively...

PURPOSE: To compare visual outcomes and patient satisfaction following bilateral implantation of a non-diffractive extended vision intraocular lens(IOL) when targeting emmetropia versus mini-monovision. SETTING: Iladevi Cataract & IOL Research Centre,India. DESIGN: Prospective,randomized controlled trial. METHODS: Patients undergoing bilateral cataract surgery with an extended vision IOL(Vivity, Alcon Laboratories, USA) randomized to: group I- IOL implantation with emmetropic target in both eyes, or group II- IOL implantation with mini-monovision of -0...

PURPOSE: To investigate the relationship between intraocular pressure (IOP) and axial length (AL) and to compare the refractive predicted error in patients who have undergone cataract surgery alone or in combination with trabeculotomy. SETTING: Hospital. DESIGN: Single-center, retrospective, case-control. METHODS: The medical records of patients who had undergone cataract surgery alone or in combination with trabeculotomy using the Tanito microhook were retrospectively reviewed...

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No abstract text is available yet for this article.

PURPOSE: To evaluate the clinical outcomes of the toric version of a presbyopia-correcting intraocular lens (IOL) based on the combination of a diffractive-based extended depth of focus (EDOF) pattern and a diffractive multifocal platform. SETTING: Miranza COI Bilbao, Spain. DESIGN: Prospective case series. METHODS: Thirty-five patients (51-84 years) with corneal astigmatism ranging from 0.75 to 2.19 D undergoing bilateral cataract surgery with implantation of the Synergy™ Toric II IOL (Johnson & Johnson Vision, Jacksonville, Florida, USA) were evaluated during a 3-month follow-up...

OBJECTIVE: Aim of this study was to use a combination of partial least squares regression and a machine learning approach to predict IOL tilt using pre-operative biometry data. SETTING: Patients scheduled for cataract surgery at the Kepler University Clinic Linz. DESIGN: Prospective single center study. METHODS: Optical coherence tomography, autorefraction and subjective refraction was performed at baseline and 8 weeks after cataract surgery...

PURPOSE: In the spectrum of pediatric cataract, genuine congenital cataract poses challenges and has a poorer prognosis than developmental cataract. We investigated the long-term outcomes of congenital cataract surgery performed within the first 6 months of life. SETTING: Eleven ophthalmic surgical sites in Japan. METHODS: Medical charts were retrospectively reviewed for 216 eyes of 121 patients. The age at surgery was 2.9 ± 1.7 months, with follow-up duration 13...

PURPOSE: To investigate the intraoperative performance and lens fragmentation efficacy of a non-cavitating handheld lensectomy system in mild, moderate, and severe cataract. SETTING: Ambulatory surgical centers. DESIGN: Retrospective consecutive case series. METHODS: 665 consecutive eyes underwent cataract surgery by 12 surgeons using a novel handheld non-cavitating lensectomy system for nuclear fragmentations and extraction...

PURPOSE: To determine the effect of playing patient-selected music intra-operatively on patient self-reported anxiety and the amount of sedative administered during cataract surgery. SETTING: Yale New Haven Hospital health system, New Haven, CT. DESIGN: Prospective, randomized, controlled clinical trial. METHODS: Patients were randomized to either music group or control group, which had no music played. Patients were blinded to the purpose of the study...

PURPOSE: To evaluate the intrasubject repeatability of pyramidal aberrometer measurements in a sample of keratoconus and normal eyes. SETTING: American University of Beirut Medical Center, Beirut, Lebanon. DESIGN: Prospective comparative repeatability analysis. STUDY POPULATION: Keratoconus and Normal eyes from adult patients. OBSERVATION PROCEDURES: Each eye was evaluated with 3 consecutive acquisitions using a pyramidal aberrometer...

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PURPOSE: To compare clinical outcomes of customized transepithelial (epi-on) corneal crosslinking (CXL) in high oxygen and customized CXL with epithelial removal (epi-off) in room air for keratoconus (KC). SETTING: Umeå University Hospital, Umeå, Sweden. DESIGN: Prospective, randomized, single-masked, intra-individually comparing study. METHODS: Thirty-two participants with bilateral progressive KC were treated with bilateral customized topography-guided CXL, 30 mW/cm2; 7...

PURPOSE: To quantify the angular-dependence of monofocal intraocular lens (IOL) power. SETTING: Ophthalmic Biophysics Laboratory, Kallam Anji Reddy campus, L V Prasad Eye Institute, Hyderabad, India. DESIGN: Laboratory study. METHODS: Experiments were performed on IOLs from two different manufacturers (APPALENS 207, Appasamy Associates and SN60WF, Alcon Laboratories). IOL powers ranged from 17 to 25 D. The IOLs were mounted in a fluid-filled chamber and the on-axis and off-axis powers were measured using a laser ray tracing system over the central 3 mm zone with delivery angles ranging from -30° to +30° in 5° increments...

No abstract text is available yet for this article.