Topography and Longitudinal Chromatic Aberration characterizations of Refractive-Diffractive Multifocal IOLs
In this paper, we investigated the topology properties of various Multifocal intraocular lenses and correlated their characteristics to their optical behavior for various wavelengths. Chromatic properties and their origins were then compared. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - June 7, 2019 Category: Opthalmology Authors: J érôme Loicq, Nicolas Willet, Damien Gatinel Source Type: research

Perioperative considerations and anesthesia management in patients with obstructive sleep apnea undergoing ophthalmic surgery
Obstructive sleep apnea (OSA) is a disorder characterized by breathing cessation caused by obstruction of the upper airway during sleep. It is associated with multiorgan comorbidities such as obesity, hypertension, heart failure, arrhythmias, diabetes mellitus, and stroke. Patients with OSA have an increased prevalence of ophthalmic disorders such as cataract, glaucoma, central serous retinopathy (detachment of retina, macular hole), eyelid laxity, keratoconus, and nonarteritic anterior ischemic optic neuropathy; and some might require surgery. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - June 3, 2019 Category: Opthalmology Authors: Oya Y. Cok, Edwin Seet, Chandra M. Kumar, Girish P. Joshi Tags: Review/update Source Type: research

Long-term changes in visual outcomes and ocular morphometrics after myopic and toric phakic intraocular lens implantation: Five- and 10-year results
To evaluate the long-term refractive and visual, anterior chamber depth, and axial length (AL) changes and complications after rigid iris-fixated phakic intraocular lens (pIOL) implantation to treat myopia or astigmatism. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - May 31, 2019 Category: Opthalmology Authors: Soraya M.R. Jonker, Tos T.J.M. Berendschot, Annick E. Ronden, Isabelle E.Y. Saelens, No ël J.C. Bauer, Rudy M.M.A. Nuijts Tags: Article Source Type: research

Enhancing rotational stability of toric intraocular lenses using a type 2L Cionni capsular tension ring in patients with high myopia
We present the technique used in a patient with high myopia to obtain rotational stability of a plate-haptic multifocal toric intraocular lens (IOL) (AT LISA tri toric 939MP). Both of the patient's eyes had long axial lengths and large capsular bags. The first operated eye experienced consecutive toric IOL malpositions. In the fellow eye, toric IOL alignment was preserved by implanting a type 2L Cionni capsular tension ring. This was reversely inserted so the two eyelets, which are positioned slightly anterior to the ring, pressed the IOL on the posterior capsule. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - May 31, 2019 Category: Opthalmology Authors: Calin Petru Tataru, Anca Cristina Dogaroiu, Catalina Ioana Tataru, Catalin Dogaroiu Tags: Technique Source Type: research

Long-Term Changes in Visual Outcomes and Ocular Morphometrics after Artisan Myopia and Toric Phakic Intraocular Lens Implantation: 5 and 10 year results
Patients with Artisan Myopia or Myopia Toric pIOLs showed an increase in axial length resulting in myopisation and a decrease of visual acuity 10 years after implantation. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - May 31, 2019 Category: Opthalmology Authors: Soraya M.R. Jonker, Tos T.J.M. Berendschot, Annick E. Ronden, Isabelle E.Y. Saelens, No ël J.C. Bauer, Rudy M.M.A. Nuijts Source Type: research

Enhancing toric IOLs rotational stability in high myopia using a 2L Cionni ring
We present the technique used in a patient with high myopia in order to obtain rotational stability of a plated-haptic multifocal toric intraocular lens (AT LISA tri toric 939MP, ZEISS). Both patient ’s eyes had long axial lengths and large capsular bags. The first operated eye suffered from consecutive toric intraocular lens (IOL) malpositions. In the fellow eye toric IOL alignment was preserved by implanting a type 2L Cionni capsular tension ring. This was reversely inserted so the two eyele ts, which are positioned slightly anterior to the ring, pressed the IOL on the posterior capsule. (Source: Journal of Cataract an...
Source: Journal of Cataract and Refractive Surgery - May 31, 2019 Category: Opthalmology Authors: Calin Petru Tataru, Anca Cristina Dogaroiu, Catalina Ioana Tataru, Catalin Dogaroiu Source Type: research

Laser flap enhancement 5 to 9 years and 10 or more years after laser in  situ keratomileusis: Safety and efficacy
To study the safety and efficacy of refractive enhancement by flap lifting 5 and 10 years after laser in situ keratomileusis (LASIK). (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - May 30, 2019 Category: Opthalmology Authors: Jorge L. Ali ó del Barrio, Rana Hanna, Mario Canto-Cerdan, Alfredo Vega-Estrada, Jorge L. Alió Tags: Article Source Type: research

An objective scatter index cutoff point as a powerful objective criterion for preoperative nuclear cataract decision-making based on ROC analysis
To assess the correlation between clinical cataract surgery indication and the objective scatter index (OSI) by defining the optimal OSI cutoff point in the surgery scheduling. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - May 30, 2019 Category: Opthalmology Authors: Clara Monferrer-Adsuara, Luc ía Mata-Moret, Verónica Castro-Navarro, Marisa Hernández-Garfella, Alicia Gracia-García, Miguel Ortiz-Salvador, Lidia Remolí-Sargues, Enrique Cervera-Taulet Tags: Article Source Type: research

An objective scatter index cut-off point as a powerful objective criterion for preoperative nuclear cataracts decision making based on a ROC analysis
This study elucidates the objective scatter index (OSI) potential clinical application in cataract surgery scheduling. According to a ROC analysis, 3.2 OSI value would be a potentially discriminative cut-off point. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - May 30, 2019 Category: Opthalmology Authors: Clara Monferrer-Adsuara, Luc ía Mata-Moret, Verónica Castro-Navarro, Marisa Hernández-Garfella, Alicia Gracia-García, Miguel Ortiz-Salvador, Lidia Remolí-Sargues, Enrique Cervera-Taulet Source Type: research

Laser-Assisted In Situ Keratomileusis Flap Lift for Refractive Enhancements after Five and Ten Years: Safety and Efficacy
Very late ( ≥5-10 years) refractive enhancements with flap lift associates good efficacy and safety. Clinically relevant epithelial ingrowth is an uncommon complication (11.42%), and rare the requirement of reintervention (4.28%). (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - May 30, 2019 Category: Opthalmology Authors: Jorge L. Ali ó del Barrio, Rana Hanna, Mario Canto-Cerdan, Alfredo Vega-Estrada, Jorge L. Alió Source Type: research

Presbyopic Refractive Lens Exchange with Trifocal Intraocular Lens Implantation After Corneal Laser Vision Correction: Refractive Results and Biometry Analysis of 241 Eyes
Presbyopic RLE provided useful distance and near vision in patients submitted to prior LVC. The improvements in biometry formulas yielded more precise IOL power calculations for this specific patient group. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - May 30, 2019 Category: Opthalmology Authors: Luis F. Brenner, Bj ørn Gjerdrum, Bente Monica Aakre, Per Olof Lundmark, Kristin Nistad Source Type: research

Precision of bag-in-the-lens intraocular lens power calculation in different age groups of pediatric cataract patients: report of the Giessen Pediatric Cataract Study Group
To evaluate the precision of bag-in-the-lens intraocular lens (BIL IOL) power calculation in different age groups of pediatric cataract patients. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - May 30, 2019 Category: Opthalmology Authors: L. Lytvynchuk, M. Thiele, W. Schmidt, B. Lorenz Source Type: research

Topography-guided excimer treatment planning: Contribution of anterior corneal coma to ocular residual astigmatism
Manifest refractive astigmatism and anterior corneal astigmatism rarely agree in magnitude and axis. When expressed vectorially where RA is the refractive astigmatism and ACA is the anterior corneal astigmatism), the discrepancy between refractive astigmatism and anterior corneal astigmatism is called  ocular residual astigmatism (ORA).1 Corneal higher-order aberrations (HOAs) are thought to contribute to refractive astigmatism and therefore to ORA in highly aberrated keratoconus corneas and in irregular corneas post-laser in situ keratomileusis flap complications and excimer laser ablation–r elated complications. (Sou...
Source: Journal of Cataract and Refractive Surgery - May 28, 2019 Category: Opthalmology Authors: Avi Wallerstein, Mathieu Gauvin, Kate McCammon, Mark Cohen Tags: Correspondence Source Type: research

Femtosecond laser –assisted cataract surgery versus conventional cataract surgery comparison
The study by Lee et  al.1 compared the differences between femtosecond laser–assisted cataract surgery and conventional phacoemulsification in patients with multifocal intraocular lenses (IOLs) (Tecnis ZLB00, Abbott Medical Optics, Inc.). It comprised 22 patients (26 eyes) in the conventional group and 17 patients ( 23 eyes) in the femtosecond laser–assisted group. The study stated that the aberration profile (total root mean square [RMS], tilt, and RMS higher-order aberrations) and patient satisfaction were statistically better in the femtosecond laser–assisted group. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - May 28, 2019 Category: Opthalmology Authors: Fuxiang Zhang Tags: Letters Source Type: research

One-sided versus 2-sided statistical analysis of the safety and efficacy of intracameral moxifloxacin to prevent post-cataract endophthalmitis
I read the study by Melega et  al.1 I disagree with their use of the 1-sided chi-square or Fisher exact test. The incidence of endophthalmitis reported in the study was 0.05% (1/1818; it should be 0.06%) in the moxifloxacin-treated group and 0.38% (7/1822) in the control group. The 1-sided Fisher exact test yields a P value o f 0.035, which is less than 0.05 and statistically significant. However, with the 2-sided Fisher exact test, the P value is 0.07 and not statistically significant. The chi-square test gives similar results. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - May 28, 2019 Category: Opthalmology Authors: Sheridan Lam Tags: Letters Source Type: research