Journal of cataract and refractive surgery
Audio Summaries

Role of toric intraocular lenses in the correction of keratoconic eyes with cataract

Mar 24, 2026

The authors aimed to determine the most effective intraocular lens (IOL) corrections for moderate to severe keratoconus (KC) eyes with cataracts by using computer simulations to analyze image quality. They found that while IOLs alone provided modest improvements in visual quality, the combination of IOLs with toric rigid gas-permeable lenses significantly enhanced image quality. The study concluded that IOL corrections alone are inadequate for addressing the large corneal aberrations in KC, and the best results were achieved with a combination of spherical and toric IOLs to avoid overcorrection.

Evaluation of spectacle independence with the Dutch Patient-Reported Spectacle Independence Questionnaire

Mar 24, 2026

The authors aimed to evaluate spectacle independence among healthy individuals and cataract patients using a Dutch version of the Patient-Reported Spectacle Independence Questionnaire (PRSIQ). Their findings revealed significant differences in rates of complete spectacle independence across various types of intraocular lenses (IOLs) and refractive targets, although the questionnaire's multidimensional nature limited its use for interval scaling. Overall, the PRSIQ-NL proved to be a useful tool for assessing spectacle independence in clinical and research settings.

Phakic Presbyopic Intraocular Lenses: A Systematic Review

Mar 20, 2026

This systematic review aims to evaluate the visual, refractive, and safety outcomes of phakic intraocular lenses (PIOLs) designed for presbyopia correction. The findings indicate that contemporary PIOL designs achieve high rates of functional spectacle independence and acceptable safety profiles, although concerns about glare and halos were noted. The authors emphasize the need for independent, long-term studies to better understand the definitive role of these lenses in refractive surgery.

Visual performance and patient reported outcomes of an extended depth of focus IOL compared to a monofocal IOL - a randomized trial

Mar 20, 2026

The authors aimed to compare the clinical performance and visual outcomes of an extended depth of focus intraocular lens (IOL), the Acunex Vario AN6V, with a monofocal IOL, the Acunex AN6, in patients undergoing bilateral cataract surgery. The study found that the EDF IOL significantly improved spectacle independence and visual acuity at intermediate and near distances compared to the monofocal IOL, while the incidence of visual disturbances was similar between both groups.

Optimization of crystalline lens refractive index to improve the accuracy of intraocular lens power calculation in patients with dense cataract

Mar 17, 2026

The authors aimed to evaluate how the crystalline lens refractive index (LRI) affects prediction error (PE) in intraocular lens power calculations for patients with dense cataracts. They found that using a corrected LRI (CLRI) significantly reduced PE compared to the standard LRI, particularly in patients with high lens nucleus hardness. This suggests that optimizing the LRI can improve the accuracy of intraocular lens power calculations in this patient population.

Visual and refractive outcomes with intrascleral haptic fixation of the light adjustable lens

Mar 10, 2026

The authors aimed to evaluate the refractive outcomes of intrascleral haptic fixation (ISHF) of the light adjustable lens (LAL) in patients with poor or absent capsular support. The study found that all ten eyes achieved their full visual potential post-treatment, with significant improvements in uncorrected distance visual acuity and a reduction in refractive astigmatism, demonstrating the feasibility of personalized visual outcomes using this technique.

Neuroprotective and Anti-Inflammatory Strategies for Corneal Nerve Regeneration and Ocular Surface Stability After Corneal Refractive Surgeries: A Systematic Review

Mar 10, 2026

This systematic review aimed to evaluate the effectiveness of neuroprotective and anti-inflammatory pharmacotherapies in promoting corneal nerve regeneration and ocular surface stability following corneal refractive surgeries. The authors found that topical cyclosporine 0.05% showed the most significant benefits in enhancing nerve function and tear film stability, while other treatments yielded varying results. They concluded that further research with larger, double-masked trials is necessary to better understand the efficacy of these interventions.

Generative Artificial Intelligence for Postoperative Parameters Prediction in Implantable Collamer Lens Surgery

Mar 10, 2026

The authors aimed to determine whether generative artificial intelligence could accurately predict multiple postoperative parameters following implantable collamer lens (ICL) surgery using preoperative anterior segment optical coherence tomography (AS-OCT) images. Their study, involving a large dataset of patients, found that the AI model, ICL-GAN, demonstrated strong correlations between predicted and actual postoperative values for parameters such as vault, AOD500, and TIA500. These results suggest that generative AI can effectively assist in forecasting surgical outcomes in ICL procedures.

Long-Term Outcomes of Corneal Crosslinking for Keratoconus Across Pediatric, Adolescent, and Adult Populations in a Diverse U.S. Population

Mar 3, 2026

The authors aimed to evaluate the long-term outcomes of epithelium-off corneal cross-linking (CXL) for treating progressive keratoconus across pediatric, adolescent, and adult populations over a five-year follow-up period. The study found that CXL resulted in significant and sustained improvements in visual acuity and corneal structure, with minimal adverse events, supporting its effectiveness as a timely intervention for progressive keratoconus in a diverse U.S. cohort.

Clinical Outcomes and In Vivo Wavefront Analysis of a Toric Transcleral Plug-Fixated IOL Using a Pyramidal Sensor Aberrometer

Mar 3, 2026

The authors aimed to evaluate the visual, refractive, and aberrometric outcomes of a toric intraocular lens (IOL) implanted in aphakic eyes without capsular support. Their findings demonstrated significant improvements in uncorrected and corrected distance visual acuity, as well as a notable reduction in corneal astigmatism and higher order aberrations, indicating that the toric IOL is effective for this patient population.