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Dysphotopsia, a lingering issue after cataract surgery: effect of IOL optic size
Werner, Liliana MD, PhD
doi : 10.1097/j.jcrs.0000000000000864
January 2022 - Volume 48 - Issue 1 - p 1-2
Antibiotic prophylaxis of postoperative endophthalmitis after cataract surgery: results of the 2021 ASCRS member survey
Chang, David F. MD; Rhee, Douglas J. MD
doi : 10.1097/j.jcrs.0000000000000757
January 2022 - Volume 48 - Issue 1 - p 3-7
In an online survey of >1200 global cataract surgeons, 66% were using intracameral (IC) antibiotic prophylaxis. This compared with 50% and 30% in the 2014 and 2007 surveys, respectively. Irrigation bottle infusion and intravitreal injection was each used by only 5% of respondents. For IC antibiotics, vancomycin was used by 6% in the United States (52% in 2014), compared with 83% for moxifloxacin (31% in 2014). Equal numbers used compounded moxifloxacin or the Vigamox bottle as the source. There was a decrease in respondents using preoperative (73% from 85%) and postoperative (86% from 97%) topical antibiotic prophylaxis; the latter was not used by 24% of surgeons injecting IC antibiotics. Reasons cited by those not using IC antibiotics include mixing/compounding risk (66%) and being unconvinced of the need (48%). However, 80% believe having a commercially approved IC antibiotic is important; if reasonably priced, this would increase adoption of IC prophylaxis to 93%.
Effect of age and cycloplegia on the morphology of the human crystalline lens: swept-source OCT study
Li, Zhangliang OD; Qu, Wenyong MD; Huang, Jinhai MD; Meng, Ziqi MD; Li, Xiuyuan MD; Zou, Rui MD; Zhao, Yune MD
doi : 10.1097/j.jcrs.0000000000000693
January 2022 - Volume 48 - Issue 1 - p 8-15
To evaluate the effect of age and cycloplegia on the morphology of the crystalline lens using a swept-source optical coherence tomography (SS-OCT) system.
Evaluation of 6 biometers based on different optical technologies
Montés-Micó, Robert PhD
doi : 10.1097/j.jcrs.0000000000000690
January 2022 - Volume 48 - Issue 1 - p 16-25
To evaluate repeatability and agreement between various biometric parameters using 6 biometers based on different optical technologies.
Comparative analysis of 2 biometers using swept-source OCT technology
Panthier, Christophe MD, MSc; Rouger, Helene OS; Gozlan, Yoni MD; Moran, Sarah MD; Gatinel, Damien MD, PhD
doi : 10.1097/j.jcrs.0000000000000704
January 2022 - Volume 48 - Issue 1 - p 26-31
To report the repeatability, level of agreement, and correlation of 2 swept-source optical coherence tomography (SS-OCT) biometers, the IOLMaster 700 (biometer A) and the ANTERION (biometer B).
Color LED reflection topography: validation of equivalent keratometry reading for IOL power calculation in eyes with previous corneal myopic refractive surgery
Fernández-Rosés, Joaquim MSc; Lamarca, José MD, PhD; Hoffer, Kenneth J. MD, FACS; Beltrán-Saiz, Antonio MSc; Barraquer, Rafael I. MD, PhD; Savini, Giacomo MD
doi : 10.1097/j.jcrs.0000000000000709
January 2022 - Volume 48 - Issue 1 - p 32-36
To compare the accuracy of the equivalent keratometry reading (EKR) from a color LED corneal topographer (Cassini) with that of other no-history formulas for intraocular lens (IOL) power calculation in eyes with previous myopic excimer laser surgery.
Evaluating the prediction accuracy of the Hill-RBF 3.0 formula using a heteroscedastic statistical method
Tsessler, Maria MD; Cohen, Shir; Wang, Li MD, PhD; Koch, Douglas D. MD; Zadok, David MD; Abulafia, Adi MD
doi : 10.1097/j.jcrs.0000000000000702
January 2022 - Volume 48 - Issue 1 - p 37-43
To evaluate the accuracy of the Hill-RBF 3 formula, with and without direct measurements of total corneal power, using a heteroscedastic statistical method for analysis.
Assessing the phacoemulsification learning curve using duration of each step
Rali, Aditya MD; Grosel, Timothy MD; Fontus, Jerry MS; Aaron, Maria MD; Jones, Jeremy MD; Moore, Elliot PhD; Khalifa, Yousuf M. MD
doi : 10.1097/j.jcrs.0000000000000703
January 2022 - Volume 48 - Issue 1 - p 44-50
To assess the phacoemulsification learning curve for ophthalmology residents using duration for each step.
Risk factors for posterior capsule rupture in cataract surgery as reflected in the European Registry of Quality Outcomes for Cataract and Refractive Surgery
Segers, Maartje H.M. MD; Behndig, Anders MD, PhD; van den Biggelaar, Frank J.H.M. PhD; Brocato, Lucia MSc; Henry, Ype P. MD, FEBO; Nuijts, Rudy M.M.A. MD, PhD; Rosen, Paul MD, FRCS, FRCOphth, MBA; Tassignon, Marie-José MD, PhD, FEBO; Young, David PhD; Stenevi, Ulf MD, PhD; Lundström, Mats MD, PhD; Dickman, Mor M. MD, PhD
doi : 10.1097/j.jcrs.0000000000000708
January 2022 - Volume 48 - Issue 1 - p 51-55
To analyze the incidence and risk factors for posterior capsule rupture (PCR) in cataract surgery.
Comparative analysis of visual outcomes of multifocal and monofocal intraocular lenses in congenital cataract surgery
Buzzonetti, Luca MD; Petroni, Sergio MD; De Sanctis, Carlo Maria MD; Valente, Paola MD, PhD; Federici, Matteo MD; Benassi, Claudia MD; Iarossi, Giancarlo MD
doi : 10.1097/j.jcrs.0000000000000705
January 2022 - Volume 48 - Issue 1 - p 56-60
To assess the impact on visual development of multifocal vs monofocal intraocular lenses (IOLs) implantation in children after congenital cataract surgery.
Clinical outcomes of a monofocal intraocular lens with enhanced intermediate function compared with an extended depth-of-focus intraocular lens
Lee, Jae Hyuck MD; Moon, Su Young MD; Chung, Ho Seok MD; Park, So Young MD; Lee, Hun MD, PhD; Kim, Jae Yong MD, PhD; Tchah, Hungwon MD, PhD
doi : 10.1097/j.jcrs.0000000000000710
January 2022 - Volume 48 - Issue 1 - p 61-66
To compare clinical outcomes of a new monofocal intraocular lens (IOL) with enhanced intermediate function and an extended depth-of-focus (EDoF) IOL.
Comparative analysis of visual outcome with 3 intraocular lenses: monofocal, enhanced monofocal, and extended depth of focus
Corbelli, Eleonora MD; Iuliano, Lorenzo MD; Bandello, Francesco MD; Fasce, Francesco MD
doi : 10.1097/j.jcrs.0000000000000706
January 2022 - Volume 48 - Issue 1 - p 67-74
To compare the visual performance, spectacle independence, and subjective visual quality of 3 intraocular lenses (IOLs): monofocal, enhanced monofocal, and extended depth of focus.
Dysphotopsia and functional quality of vision after implantation of an intraocular lens with a 7.0 mm optic and plate haptic design
Bonsemeyer, Ma?gorzata Kalina MSc; Becker, Eckhard MD; Liekfeld, Anja MD, PhD
doi : 10.1097/j.jcrs.0000000000000735
January 2022 - Volume 48 - Issue 1 - p 75-82
To determine the impact of an intraocular lens (IOL) with a 7.0 mm optic and plate haptic design on incidence of dysphotopsia and visual functions after cataract surgery.
Concordance of keratoconus in monozygotic twins before and after combined corneal crosslinking/photorefractive keratectomy (Athens Protocol) using Scheimpflug and OCT tomography
Vingopoulos, Filippos MD; Zisimopoulos, Athanasios MD; Kanellopoulos, Anastasios John MD
doi : 10.1097/j.jcrs.0000000000000691
January 2022 - Volume 48 - Issue 1 - p 83-88
To describe the concordance of keratoconus (KC) expression in 2 pairs of monozygotic twins before and after a combined corneal crosslinking (CXL)/photorefractive keratectomy (PRK) procedure.
Femtosecond laser–assisted descemetorhexis for Descemet membrane endothelial keratoplasty: cell-based and tissue-based ex vivo analysis of precision and safety
Feldhaus, Lukas MD; Dirisamer, Martin MD, PhD; Ohlmann, Andreas MD, PhD; Luft, Nikolaus MD, PhD; Kassumeh, Stefan MD; Shajari, Mehdi MD, PhD; Priglinger, Siegfried G. MD, PhD; Mayer, Wolfgang J. MD, PhD
doi : 10.1097/j.jcrs.0000000000000692
January 2022 - Volume 48 - Issue 1 - p 89-94
To analyze precision and safety of femtosecond laser–assisted descemetorhexis and postoperative corneal wound healing in human ex vivo specimens.
Effect of a 7.0 mm intraocular lens optic on peripheral retinal illumination with implications for negative dysphotopsia
Erie, Jay C. MD; Simpson, Michael J. PhD; Mahr, Michael A. MD
doi : 10.1097/j.jcrs.0000000000000822
January 2022 - Volume 48 - Issue 1 - p 95-99
To use optical modeling to compare a 6.0 mm and 7.0 mm intraocular lens (IOL) optic diameters on peripheral retinal illumination with implications for negative dysphotopsia.
Clinical features of endophthalmitis clusters after cataract surgery and practical recommendations to mitigate risk: systematic review
Park, Jeff BHSc, MD(C); Popovic, Marko M. MD, MPH(C); Balas, Michael BHSc, MD(C); El-Defrawy, Sherif R. MD, PhD, FRCSC; Alaei, Ravin PhD, MD(C); Kertes, Peter J. MD, CM, FRCSC
doi : 10.1097/j.jcrs.0000000000000756
January 2022 - Volume 48 - Issue 1 - p 100-112
Intraocular transmission of exogenous pathogens in cataract surgery can lead to endophthalmitis. This review evaluates the features of endophthalmitis clusters secondary to pathogen transmission in cataract surgery. Articles reporting on pathogen transmission in cataract surgery were identified via searches of Ovid MEDLINE, EMBASE, and Cochrane CENTRAL, and a total of 268 eyes from 24 studies were included. The most common source of infectious transmission was attributed to a contaminated intraocular solution (ie, irrigation solution, viscoelastic, or diluted antibiotic; n = 10). Visual acuity at presentation with infectious features was 1.89 logMAR (range: 1.35 to 2.58; ?counting fingers) and 1.33 logMAR (range: 0.04 to 3.00; Snellen: ?20/430) at last follow-up. Patients with diabetes had worse outcomes compared with patients without diabetes. The most frequently isolated pathogen from the infectious sources was Pseudomonas sp. (50.0%). This review highlights the various routes of pathogen transmission during cataract surgery and summarizes recommendations for the detection, prevention, and management of endophthalmitis clusters.
Steroid-induced Pseudomonas aeruginosa endophthalmitis outbreak
Arora, Ritu MD; Goel, Ruchi MS; Loomba, Poonam MD; Khanam, Samreen MS
doi : 10.1097/j.jcrs.0000000000000673
January 2022 - Volume 48 - Issue 1 - p 113-115
Radius of curvature in an oblique keratometric meridian
Næser, Kristian MD, DSMC; Bregnhøj, Jesper Flethøj MD
doi : 10.1097/j.jcrs.0000000000000694
January 2022 - Volume 48 - Issue 1 - p 116-117
Sutureless technique for repositioning and scleral fixation of the capsular bag–intraocular lens complex with permanent use of iris retractors
Krix-Jachym, Karolina M. MD, PhD; B?agun, Natalia MD; Kici?ska, Aleksandra K. MD; Dyda, Wojciech MD; R?kas, Marek T. MD, PhD
doi : 10.1097/j.jcrs.0000000000000838
January 2022 - Volume 48 - Issue 1 - p 118-124
A new sutureless technique used for repositioning and scleral fixation of the capsular bag–intraocular lens (IOL) complex in the surgical treatment of subluxated lenses is described. Iris retractors were used not only to induce a tent effect on the capsule but also to permanently fix the capsular bag to the sclera in this method, without the need to prepare scleral or conjunctival flaps. Surgery with the use of a capsular tension ring (CTR) and iris retractors, the ends of which were brought out through the sclera and cauterized, was performed in 7 eyes of 7 patients with moderate or severe subluxation of the crystalline lens. In all cases, simultaneous use of a CTR and iris retractors ensured good centration of the capsular bag–IOL complex. The method was safe and effective in fixing the capsule to the sclera in the case of significant damage to the ligamentous apparatus of the lens.
Modified Yamane technique with a 26-gauge needle: single corneal incision and simplified haptic insertion
Tang, Yong MD; Gao, Yanlin MD; Chu, Yanhua MD; Liu, Yuyan MD; Han, Quanhong MD
doi : 10.1097/j.jcrs.0000000000000816
January 2022 - Volume 48 - Issue 1 - p e1-e4
A modified Yamane technique with a 26-gauge needle for aphakia correction is described. Single corneal or corneoscleral incision is set at 12 o'clock. The 26-gauge needles are used to make 2 angled incisions parallel to the limbus to fix the haptics of a 3-piece intraocular lens. The modifications provide an easier and safer way of haptic insertion into the needle tip and decreases the possibility of bending or breaking the haptic.
Acute iris toxicity following bilateral gel stent implantation with mitomycin-C and intracameral moxifloxacin January consultation
Liaboe, Chase MD; Samuelson, Thomas W. MD
doi : 10.1097/j.jcrs.0000000000000867
January 2022 - Volume 48 - Issue 1 - p 125
A 72-year-old woman with moderate primary open-angle glaucoma was referred for management of her glaucoma and photophobia. Her ocular history is significant for routine cataract surgery in both eyes 6 years prior to presentation. She was diagnosed with glaucoma 7 months prior to presentation at which time the patient underwent sequential, ab externo, open conjunctival, Xen Gel Stent (Allergan, Inc.) placement with mitomycin-C (MMC) in each eye, approximately 2 weeks apart. The history obtained directly from the surgeon revealed that MMC dosing was 0.2 mL in a concentration of 0.2 mg/mL delivered through subconjunctival injection after placement of the gel stent. Intracameral moxifloxacin was injected at the time of surgery, and moxifloxacin and Maxitrol eyedrops were used in the postoperative period. The patient noted that, approximately 1 month after each surgery, she developed significant photophobia. An outside examination noted bilateral tonic pupils and concern for early bleb failure in the left eye. 2 months after the initial gel stent placement in the left eye, she underwent a bleb revision with a McCannel suture iris cerclage in the left eye. The intraocular pressure (IOP) in both eyes remained well controlled off pressure-lowering medications; however, the tonic pupils and photophobia persisted. The patient was subsequently referred for further assessment.
Comment on: Purifying air over the operating field with a new mobile laminar airflow device to reduce the possibility of airborne contamination
Watson, Donovan BS; Parker, John MD; Parker, Jack S. MD, PhD
doi : 10.1097/j.jcrs.0000000000000857
January 2022 - Volume 48 - Issue 1 - p 131
Comment on: Knot-free suture scleral fixation of dislocated intraocular lenses: clinical results of a novel surgical technique
Cho, Yang Kyung MD, PhD; Ambati, Balamurali K. MD, PhD
doi : 10.1097/j.jcrs.0000000000000859
January 2022 - Volume 48 - Issue 1 - p 131-132
