Editor's comment
This is a case of an open-loop PMMA IOL decentered and tilted in a defective capsular bag with the nasal loop dislocated into the anterior chamber. Action is required because the IOL might luxate any time and the complete lack of vitreous support could potentially result in retinal damage by the sharp loop ends of a spinning-around IOL. Also, the patient has been reporting night diplopia. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - October 31, 2019 Category: Opthalmology Authors: Rupert Menapace Tags: Consultation section: Cataract Source Type: research

Magnetic inhibition of implantable cardioverter-defibrillators during LASIK procedures: Let us have a change of heart
Implantable cardioverter-defibrillators (ICDs) have been tremendously useful in decreasing complications and death in patients with heart failure or arrhythmia disorders. It has been suggested that for every 9 devices implanted, one death and three hospitalizations for major cardiovascular events can be prevented.1 Patients with ICDs pose a challenge for surgeons, however, because a shock delivered from the ICD could potentially produce substantial patient movement on the operating table, significantly increasing surgical risk. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - October 31, 2019 Category: Opthalmology Authors: Majid Moshirfar, Anisha N. Somani, Grant C. Hopping Tags: Correspondence Source Type: research

Impact of corneal guttata on cataract surgery results
Data from the Swedish Cataract Registry showed that patients with corneal guttae benefited from cataract surgery but had poorer visual acuity and self-reported visual function than patients without guttae.1 As corneal surgeons, we are concerned about the recommendation to wait at least 3  weeks after cataract surgery to decide on corneal transplantation. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - October 31, 2019 Category: Opthalmology Authors: Francis W. Price, Matthew T. Feng Tags: Letter Source Type: research

Reply
Drs. Price and Feng's analogy of the cornea resembling a windshield is useful. We agree on the importance of a holistic approach to the patient's visual problems and the involvement of corneal transplantation as a possible treatment early in the planning process before cataract surgery. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - October 31, 2019 Category: Opthalmology Authors: Andreas Viberg, Per Liv, Anders Behndig, Mats Lundstr öm, Berit Byström Tags: Letter Source Type: research

Prerequisites for pain assessment
Shetty et  al.1 evaluated the effect of a bandage contact lens soaked in ketorolac ophthalmic 0.45% solution on pain modulation in patients having transepithelial photorefractive keratectomy (PRK). The authors did not mention whether the patients in the treatment group and no treatment group were masked. It is known that when patients are aware of the allocation to an experimental intervention or to a comparator including a placebo, they experience, report, or record greater benefits than when they are unaware of the assignment. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - October 31, 2019 Category: Opthalmology Authors: Swati Agrawal, Ashi Khurana Tags: Letter Source Type: research

Reply
Drs. Agrawal and Khurana raise valid points. We would like to clarify that the patients were masked to which group they were assigned and were  not aware of whether they were receiving a ketorolac-soaked bandage contact lens or a plain lens. This is important because, as Drs. Agrawal and Khurana rightly point out, the placebo effect could play an important role in pain management. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - October 31, 2019 Category: Opthalmology Authors: Rohit Shetty, Sharon D'Souza Tags: Letter Source Type: research

Corneal crosslinking: Current protocols and clinical approach
Members of the ASCRS Cornea Clinical Committee performed a review of the current literature on the corneal crosslinking (CXL) procedure for treating corneal ectasia. The members explored the data on the techniques currently in use and under investigation, including their advantages, safety profiles, risks, and cost analyses, compared with data on corneal transplantation. They concluded that CXL limits the progression of keratoconus, thus reducing the need for transplantation. They also found that compared with permitting the disease to progress naturally, CXL techniques carry significant and long-term cost and safety benef...
Source: Journal of Cataract and Refractive Surgery - October 31, 2019 Category: Opthalmology Authors: Kenneth A. Beckman, Preeya K. Gupta, Marjan Farid, John P. Berdahl, Elizabeth Yeu, Brandon Ayres, Clara C. Chan, Jos é A.P. Gomes, Edward J. Holland, Terry Kim, Christopher E. Starr, Francis S. Mah, the ASCRS Cornea Clinical Committee Tags: Review/Update Source Type: research

Phakic intraocular lenses: Lessons learned
Toast to the lessons not yet learned and to the trials that will teach them. —Brooke Fraser (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - October 31, 2019 Category: Opthalmology Authors: Sathish Srinivasan Tags: From the editor Source Type: research

Editorial Board
(Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - October 31, 2019 Category: Opthalmology Source Type: research

Masthead
(Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - October 31, 2019 Category: Opthalmology Source Type: research

Table of Contents
(Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - October 31, 2019 Category: Opthalmology Source Type: research

Visual Acuity Chart
(Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - October 31, 2019 Category: Opthalmology Source Type: research

Evaluating the relative value of intraoperative aberrometry versus current formulas for toric IOL sphere, cylinder, and orientation planning
To retrospectively review toric intraocular lens (IOL) outcomes and compare actual results to those expected from preoperative calculations and intraoperative aberrometry (IA) in normal eyes. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - September 27, 2019 Category: Opthalmology Authors: Kerry D. Solomon, Helga P. Sandoval, Richard Potvin Tags: Article Source Type: research

Slitlamp protractor: Refinement of existing slitlamp toric scale
We describe a simple modification to the preexisting protractor scale on the slitlamp to facilitate toricity measurement at each degree. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - September 27, 2019 Category: Opthalmology Authors: Amar Pujari, Jayanand Urkude, Rashmi Singh, Saumya Yadav, Ritika Mukhija, Namrata Sharma Tags: Correspondence Source Type: research

Measuring aberrations of multifocal and extended depth-of-focus intraocular lenses
Studies comparing the optical quality of intraocular lenses (IOLs) in  vivo are proliferating. This increase in popularity is largely driven by the availability of aberrometers in clinical and laboratory environments. However, the approach to interpreting aberrometry results in pseudophakic patients has been insufficient in many cases, especially when considering mul tifocal or extended depth-of-focus (EDOF) IOLs. In the majority of published studies that compared the optical quality between multiple IOLs and pupil sizes, the authors present the root mean square (RMS) as a fait accompli. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - September 27, 2019 Category: Opthalmology Authors: Antonio J. Del Águila-Carrasco, Eleni Papadatou, Phillip J. Buckhurst Tags: Correspondence Source Type: research