Journal of cataract and refractive surgery
Audio Summaries

Aberration-guided Intraocular Lens Power Calculation in Keratoconus: Ray Tracing Optimization

Jul 31, 2026

The authors aimed to evaluate the accuracy of ray tracing optimization (RTO) for predicting postoperative refractive error in patients with keratoconus undergoing cataract surgery. The study found that RTO provided reliable predictions, particularly in eyes with predominant vertical coma, with a significant percentage of eyes falling within ±0.5D and ±1.0D of the predicted refraction. These results suggest that incorporating higher-order aberrations into intraocular lens power calculations can enhance surgical outcomes in keratoconic patients.

Randomized, Controlled Cross-over Comparison of Oral Cannabidiol to Oral Opioid for Postoperative Photorefractive Keratectomy Pain Control

Jul 29, 2026

The authors aimed to compare the safety and efficacy of low-THC oral cannabidiol (CBD) versus oral codeine-acetaminophen for managing postoperative pain after photorefractive keratectomy (PRK). The study found that CBD provided non-inferior pain control and similar recovery outcomes compared to codeine-acetaminophen, with only mild sensorium changes noted in patients taking CBD. This suggests that CBD may serve as a viable opioid-sparing alternative for pain management in refractive surgery.

Vertical Gas Breakthrough Complicating Femtosecond LASIK: Incidence, Management, and Visual Outcomes in a Retrospective Case Series

Jul 27, 2026

The authors aimed to characterize the incidence, management strategies, and early visual outcomes associated with vertical gas breakthrough (VGB) during femtosecond LASIK procedures. In a review of 7,746 eyes, VGB occurred in 23 cases (0.3%), primarily near the hinge of the flap, and was managed effectively with various approaches, resulting in favorable postoperative visual outcomes across all management strategies.

Risk factors for late intraocular lens dislocation: a systematic review and meta-analysis

Jul 27, 2026

The authors aimed to quantify the associations between various risk factors and late intraocular lens (IOL) dislocation following uncomplicated cataract surgery. Through a systematic review and meta-analysis, they identified that zonular weakness, ocular trauma, uveitis, and pseudoexfoliation syndrome were the strongest risk factors, while myopia and glaucoma showed moderate associations. The study highlights the importance of structural and inflammatory damage to the capsular-zonular complex in the occurrence of late IOL dislocation.

Absorbable, Non-absorbable, and Sutureless Wound Closure in Pediatric Cataract Surgery: A Systematic Review and Meta-Analysis

Jul 27, 2026

The authors aimed to compare the postoperative outcomes of absorbable versus non-absorbable sutures and sutureless versus sutured incisions in pediatric cataract surgery. Their systematic review and meta-analysis found that absorbable sutures and sutureless techniques are associated with significantly lower odds of overall complications compared to their counterparts, although the evidence quality was very low. They call for larger randomized controlled trials to establish definitive surgical guidelines due to potential biases and limitations in their findings.

Complications of Epithelium-Off Crosslinking for Keratoconus: A Single Institution Historical Experience

Jul 17, 2026

The authors aimed to investigate the complications and risk factors associated with epithelium-off corneal collagen crosslinking (CXL) for keratoconus in a single institution. They found that while CXL has a low overall complication rate, persistent epithelial defects (PED) were significantly linked to the use of general anesthesia and preoperative corneal scarring, whereas corneal haze was associated with thicker baseline pachymetry and younger age. These insights may help improve post-operative monitoring and outcomes for patients undergoing CXL.

Enhancing Patient Comfort in Epi-Off Crosslinking: The Potential of High-O2 Chambers

Jul 16, 2026

The authors aimed to evaluate the effects of a high-oxygen environment on the efficacy of epi-off corneal cross-linking (CXL) and patient comfort during the procedure. Their findings indicated that patients treated in a high-oxygen chamber experienced deeper stromal demarcation, better keratometric improvements, and significantly lower pain levels compared to those in ambient air. This suggests that high-oxygen conditions may enhance both clinical outcomes and patient experience in CXL procedures.

Rotational Stability of Three Toric Intraocular Lens Platforms After Cataract Surgery: A Prospective Multicenter Randomized Trial

Jul 16, 2026

The authors aimed to compare the postoperative rotational stability of three different toric intraocular lens (IOL) platforms following cataract surgery and to identify any biometric factors associated with lens rotation. Their findings indicated that hydrophobic C-loop toric IOLs exhibited superior early rotational stability compared to hydrophilic plate-haptic IOLs, with specific biometric factors influencing rotation varying across the different platforms. This research underscores the importance of individualized selection and monitoring of toric IOLs based on patient-specific characteristics.

Clinical indications and microscopic findings in 151 explanted intraocular lenses over 12 years

Jul 16, 2026

The authors aimed to analyze the clinical indications and microscopic findings of intraocular lenses (IOLs) explanted over a 12-year period at a single center. They cataloged 151 explanted IOLs, examining patient demographics, explantation reasons, and specific microscopic changes associated with different IOL materials. The study confirms known material-specific susceptibilities and reflects changes in IOL selection and explantation trends over time.

Light adjustable lens implantation with cataract surgery in eyes with macular pathology

Jul 3, 2026

The authors aimed to assess the visual, refractive, and safety outcomes of light adjustable lens (LAL) implantation in patients with pre-existing macular pathology undergoing cataract surgery. The study found that the LAL significantly improved uncorrected distance visual acuity and refractive accuracy, with a favorable safety profile, suggesting it is a viable option for patients with macular diseases traditionally deemed unsuitable for cataract surgery.