Bag-in-the-lens implantation helps avoid posterior synechiae of the iris after phacovitrectomy
To compare the rate of posterior synechiae of the iris  (PSI) occurrence after phacovitrectomy between a group with lens-in-the-bag (LIB) implantation, that is, implantation in the capsular bag, and a group with bag-in-the-lens (BIL) implantation. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - August 29, 2019 Category: Opthalmology Authors: Cl ément Auchère Lavayssiere, Anne-Laure Lux, Guillaume Beraud, Alice Degoumois, Christian Billotte, Éric Denion Tags: Article Source Type: research

Comparison of formulas accuracy for iol power calculation based on measurements by a swept-source optical coherence tomography optical biometer
Older and newer formulas provide accurate IOL power calculations when using SS-OCT optical biometer measurements. More than 80% of eyes are expected to have a prediction error within 0.50 D. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - August 29, 2019 Category: Opthalmology Authors: Giacomo Savini, Kenneth J. Hoffer, Nicole Balducci, Piero Barboni, Domenico Schiano-Lomoriello Source Type: research

West Indies Glaucoma Laser Study (WIGLS) 4. Crystalline Lens Changes Following Selective Laser Trabeculoplasty in Afro-Caribbeans with Open-Angle Glaucoma
Selective laser trabeculoplasty therapy is not associated with progressive nuclear, cortical, or posterior subcapsular lens opacities through 3 years of follow-up in Afro-Caribbean eyes with open-angle glaucoma. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - August 29, 2019 Category: Opthalmology Authors: Tony Realini, Hazel Shillingford-Ricketts, Darra Burt, Goundappa K. Balasubramani Source Type: research

Bag-in-the-lens implantation avoids posterior synechiae of the iris after phacovitrectomy
To compare the rate of occurrence of posterior synechiae of the iris (PSI) after phacovitrectomy between a group with Lens-In-the-Bag (LIB) implantation, i.e. implantation in the capsular bag and a group with Bag-In-the-Lens (BIL) implantation. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - August 29, 2019 Category: Opthalmology Authors: Cl ément Auchère Lavayssiere, Anne-Laure Lux, Guillaume Beraud, Alice Degoumois, Christian Billotte, Éric Denion Source Type: research

Nuclear scaffold technique: The three-dimensional indigenous capsular bag support used in conjunction with intraocular lens scaffold and capsular tension ring to prevent posterior capsule rupture in zonulopathy
We describe a technique for performing phacoemulsification in zonular dehiscence less than 90 degrees by using hard nuclear fragments as a scaffold. In this technique, in conjunction with capsular tension ring (CTR), hard nuclear fragments and intraocular lens (IOL) are used as scaffolds during different steps of nuclear emulsification to prevent posterior capsule rupture and aggravation of zonulopathy. Devices such as capsular hooks, CTR, and IOLs are used to support capsular bag associated with zonulopathy. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - August 29, 2019 Category: Opthalmology Authors: Rohit Om Parkash, Shruti Mahajan, Tushya Om Parkash, Tushar Om Parkash, Milan Rai Source Type: research

Visual performance and positional stability of a capsulorhexis fixated EDOF IOL
Six month outcomes following FLACS capsulotomy assisted cataract surgery and insertion of the FEMTIS Comfort MF15 (EDOF) capsule-fixated IOL demonstrated excellent refractive predictability, minimal IOL shift and high patient satisfaction. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - August 29, 2019 Category: Opthalmology Authors: Erica Darian-Smith, Patrick Versace Source Type: research

Anterior Chamber Lens Sizing: A Comparison of White-to-White and Scleral-Spur-to-Scleral-Spur Methods
Horizontal white-to-white measurement without adjustment most accurately represents anterior chamber sizing. Vertical meridian lens orientation may minimize complications when placing an anterior chamber intraocular lens. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - August 28, 2019 Category: Opthalmology Authors: Cameron Bruner, David F. Skanchy, John P. Wooten, Alice Z. Chuang, Gene Kim Source Type: research

Reasons for Explantation, Demographics and Material analysis of 200 Intraocular Lens explants
This retrospective cross-sectional study of 200 explanted intraocular lenses (IOL) reveals the major cause for explantation to be late-postoperative IOL calcification. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - August 28, 2019 Category: Opthalmology Authors: Tabitha Neuhann, Timur M. Yildirim, Hyeck-Soo Son, Patrick R. Merz, Ramin Khoramnia, Gerd U. Auffarth Source Type: research

Quantification of residual ophthalmic viscosurgical device after irrigation/aspiration in experimental cataract surgery in  vitro
To determine the distribution and quantity of ophthalmic viscosurgical device (OVD) retained in the lens capsular bag after irrigation/aspiration (I/A) in experimental cataract surgery. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - August 28, 2019 Category: Opthalmology Authors: Hisato Gunji, Tetsutaro Ohki Tags: Laboratory science Source Type: research

Comparative meta-analysis of toric intraocular lens alignment accuracy in cataract patients: Image-guided system versus manual marking
This meta-analysis studied toric intraocular lens (IOL) alignment accuracy using image-guided and manual marking methods by comparing the axis misalignment of toric IOLs, percentage of eyes with toric IOL axis misalignment within ±5 degrees, postoperative astigmatism, difference vector, and postoperative uncorrected distance visual acuity. The methodological quality was assessed using the modified Quality Assessment of Diagnostic Accuracy Studies-2 tool. Continuous variables were analyzed using weighted mean differences, an d dichotomous variables were compared using the odds ratio. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - August 28, 2019 Category: Opthalmology Authors: Fengqi Zhou, Wu Jiang, Zhuoling Lin, Xiaoyan Li, Jing Li, Haotian Lin, Weirong Chen, Qiwei Wang Tags: Review/Update Source Type: research

Posttraumatic posterior capsular defect: Assessment of 3 cases
Traumatic cases in ophthalmology are of special concern. The extent of injury can vary from simple superficial epithelial defect to gross ocular avulsions, or from a simple concussion injury to a penetrating injury. In cases of blunt trauma, the manifestations are variable, and amongst the many complications, lenticular injuries require detailed evaluation. The usual lens injuries are opacification of lens matter, with or without any capsular discontinuity; however, in the presence of media opacity, the assessment of posterior capsular integrity is a difficult task. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - August 28, 2019 Category: Opthalmology Authors: Amar Pujari, Namrata Sharma Tags: Correspondence Source Type: research

Long-term effects of mitomycin-C on residual aberration and optical quality after photorefractive keratectomy in eyes with low to moderate myopia
The introduction of mitomycin-C (MMC) has improved the outcomes of photorefractive keratectomy (PRK) by preventing haze formation and reducing light scatter.1 Mitomycin-C is routinely used when the ablation depth goes beyond certain limits (eg, ablations deeper than 60  mm) and in hyperopic and highly toric ablations.2 Some surgeons use MMC for every excimer laser ablation regardless of the intended correction. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - August 28, 2019 Category: Opthalmology Authors: Seyed Farzad Mohammadi, Tahereh Abdolahinia, Elham Ashrafi, Somayeh Heydari, Sepideh Jamali Tags: Correspondence Source Type: research

Reply
In his letter, Dr. Packard states that the recorded incision enlargements might not reflect the true incision size for each injector. It is true that every measurement system has uncertainty, and our study might have been limited by the resolution of the ruler and the stability of the human hand. To mitigate this issue, we used very thin purpose-made F-gauges with rounded edges to prevent incision enlargement. The F-gauges were designed to increase in increments of 0.1  mm (±0.01 mm) to allow precise assessment of the width of the incision. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - August 28, 2019 Category: Opthalmology Authors: Alejandro Arboleda, Esdras Arrieta, Mariela C. Aguilar, Krystal Sotolongo, Derek Nankivil, Jean-Marie A. Parel Tags: Letters Source Type: research

Postoperative variations in intraocular lens injector dimensions and corneal incisions
In their article, Arboleda et  al.1 describe a study of rabbit eyes comparing 13 intraocular lens (IOL) injectors and their effect on clear corneal wounds. Various measurements of the size of the injectors were taken, and these were then related to the size of incision needed for the injectors to pass through. All initials inci sions were 1.8 mm; they were then enlarged with the same knife used to make the initial incision. The authors state that incision enlargement was performed in 0.1 mm increments. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - August 28, 2019 Category: Opthalmology Authors: Richard Packard Tags: Letters Source Type: research

Toric implantable collamer lens implantation in a patient with keratoconus
A 39-year-old woman was seen because of dissatisfying results after an implantable collamer lens (ICL) (Visian ICL, STAAR Surgical Co.) implantation in the left eye. The ICL implantation was performed in 2017 because of stable keratoconus with contact lens intolerance. The preoperative corrected distance visual acuity (CDVA) was 20/25 in the right eye ( −1.25 −3.0 × 40) and 20/25 in the left eye (−0.25 −7.25 × 145). A 13.7 mm ICL (−7.5 +6.0 × 54) was implanted in the left eye at the horizontal axis. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - August 28, 2019 Category: Opthalmology Authors: Rudy M.M.A. Nuijts, Isabelle E.Y. Saelens Tags: Consultation section: Refractive Source Type: research