Journal of cataract and refractive surgery
Audio Summaries

Comment on: Evaluating large language models vs residents in cataract and refractive surgery: comparative analysis using the American Academy of Ophthalmology Self-Assessment Program

Jun 20, 2026

The authors aim to evaluate the performance of large language models (LLMs) in cataract and refractive surgery and propose a responsible validation system for their clinical integration. They highlight significant shortcomings in LLMs regarding clinical reliability and safety, suggesting a three-layer validation framework to ensure effective and equitable use of AI in these surgical fields. The study emphasizes the need for a shift towards responsible clinical applications of AI technologies.

Intracorneal Ring Segment Implantation with Epithelium-off Accelerated Cross-Linking for Pediatric Keratoconus: A 7-Year Retrospective Analysis

Jun 19, 2026

The authors aimed to evaluate the long-term clinical outcomes of intracorneal ring segment implantation followed by epithelium-off accelerated cross-linking in pediatric patients with keratoconus. Their retrospective analysis of 73 eyes demonstrated significant improvements in visual acuity and keratometric measures over a follow-up period of up to 84 months, suggesting that this combined treatment is effective in managing pediatric keratoconus and improving visual function.

Detection of Latent Macular Lesions by Preoperative Optical Coherence Tomography and Associated Factors in Japanese Cataract Patients

Jun 19, 2026

The authors aimed to determine the detection rate of latent macular lesions in Japanese cataract patients scheduled for surgery, despite having no clinically confirmed macular abnormalities. They found that 9.5% of patients had latent lesions, with age being a significant factor associated with these findings. The study suggests that preoperative optical coherence tomography (OCT) can enhance the identification of such lesions, potentially improving surgical planning.

Comparative Analysis of Human and Porcine Corneal Mechanics and Structure after Glycosaminoglycan Degradation

Jun 19, 2026

The authors aimed to compare the biomechanical and microstructural effects of keratan sulfate glycosaminoglycans (GAGs) in human and porcine corneas after enzymatic degradation. They found that human corneas exhibited greater mechanical strength than porcine corneas, and the removal of KS GAGs significantly weakened both types of corneas while altering their microstructural properties. This study highlights the importance of GAGs in maintaining corneal integrity, which could inform future treatments for vision diseases associated with GAG defects.

Efficacy and safety of implantable phakic contact lens versus implantable collamer lens in myopic eyes: a systematic review and meta-analysis

Jun 18, 2026

The authors aimed to compare the efficacy and safety of Implantable Phakic Contact Lens (IPCL) versus Implantable Collamer Lens (ICL) for correcting myopia. Their systematic review and meta-analysis of nine studies involving 1,187 eyes found that both lenses provided similar visual outcomes and safety profiles, although IPCL showed a slight advantage in spherical equivalent measurements. The study concluded that while both options are effective, further long-term research is needed, particularly regarding the rotational stability of toric ICLs.

Blepharoptosis after Modern Phacoemulsification Cataract Surgery: Incidence, Risk Factors and Underlying Mechanisms

Jun 17, 2026

The authors aimed to review the incidence, risk factors, and underlying mechanisms of blepharoptosis following modern phacoemulsification cataract surgery with intraocular lens implantation. They found that while the overall incidence of postoperative ptosis is low (ranging from 0% to 10.7%), preoperative eyelid characteristics and the type of anesthesia used may influence its occurrence. The study highlights the importance of discussing the potential for postoperative ptosis during preoperative counseling.

Ultrasound phacoemulsification: Physical mechanisms, cavitation, and thermal effects

Jun 16, 2026

The authors aimed to analyze the physical mechanisms and potential risks associated with ultrasound-induced effects during phacoemulsification cataract surgery. Through computational modeling and experimental validation, they found that the mechanical and thermal risks to ocular tissues are negligible, with lens fragmentation primarily driven by the oscillating tip rather than cavitation. Their results support the safety and efficacy of ultrasound-based phacoemulsification techniques.

Clinical Outcomes of Patients Bilaterally Implanted with the Light Adjustable Lens: Results of a Phase IV Clinical Registry

Jun 16, 2026

The authors aimed to evaluate the clinical outcomes of patients who underwent bilateral implantation of the Light Adjustable Lens (LAL) in a multi-center registry. The study found that a high percentage of participants achieved excellent visual acuity and minimal prediction error, regardless of whether they had prior corneal refractive surgery, indicating the LAL's effectiveness in achieving targeted visual outcomes.

A Comparative Analysis of Tolerance to Induced Astigmatism Across Various Categories of Intraocular Lenses

Jun 16, 2026

The authors aimed to compare the tolerance to induced astigmatism (TIA) among four different types of intraocular lenses (IOLs) following cataract surgery. Their findings revealed that while the enhanced monofocal IOL exhibited the greatest tolerance to induced astigmatism, particularly in oblique and ATR orientations, no significant differences were observed among the IOL groups for low to moderate WTR astigmatism. Overall, the study highlights the varying degrees of astigmatic tolerance provided by different IOL designs.

Current practice patterns for cleaning tonometry tips and diagnostic/laser lenses

Jun 16, 2026

The authors aimed to investigate current cleaning practices for tonometry tips and diagnostic/laser lenses among ophthalmologists. Their survey revealed that most practitioners prefer using alcohol wipes or swabs, with high-level disinfection (HLD) being uncommon and largely influenced by facility policies rather than safety concerns. The findings suggest that, in the absence of significant evidence linking standard cleaning methods to infection risks, the decision to implement HLD should remain at the discretion of individual ophthalmologists.