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Editorial: Advances in cataract surgery planning, methods, and outcomes in the pandemic era.
Hakim, Dominic F.; Afshari, Natalie A.
doi : 10.1097/ICU.0000000000000721
Volume 32(1), January 2021, p 1-2
FOCUSED (Femtosecond Optimized Continuous Uncorrected Sight with EDOF and Diffractive Multifocal IOLs) - A Review.
Barnett, Brad P.
doi : 10.1097/ICU.0000000000000723
Volume 32(1), January 2021, p 3-12
Purpose of review: The aim of this article is to review techniques to maximize all-distance uncorrected visual acuity and minimize photic phenomena after the implantation of multifocal and extended-depth of focus (EDOF) intraocular lenses (IOLs). This review examines the role of femtosecond laser-assisted cataract surgery (FLACS) in postoperative minimization of astigmatism and optimization of outcomes with multifocal and EDOF lenses.
Handling regular and irregular astigmatism during cataract surgery.
Hardten, David R. a,b; Hardten, Adeline G. c
doi : 10.1097/ICU.0000000000000718
Volume 32(1), January 2021, p 13-18
Purpose of review: There are several different approaches to handling regular and irregular astigmatism during cataract surgery, but still much debate on which solutions are most effective given unique patient circumstances. In this review, we examine recent literature and studies to highlight some of the most effective ways to plan preoperatively, manage regular and irregular astigmatism during cataract surgery, as well as managing postoperative complications.
Flanged fixation: Yamane technique and its application.
Yamane, Shin a; Ito, Arisa b
doi : 10.1097/ICU.0000000000000720
Volume 32(1), January 2021, p 19-24
Purpose of review: To review variations of flanged intraocular lens fixation (Yamane technique) and their outcomes.
Refractive outcomes and complications following angle supported, iris fixated, and posterior chamber phakic intraocular lenses bilensectomy.
Vargas, Veronica a,b; Alio, Jorge L. a,b,c,d
doi : 10.1097/ICU.0000000000000716
Volume 32(1), January 2021, p 25-30
Purpose of review: The manuscript presents a review of published studies regarding the outcomes, causes, and complications of phakic intraocular lens (pIOLs) bilensectomy.
A review of late intraocular lens opacifications.
Kanclerz, Piotr a; Yildirim, Timur M. b; Khoramnia, Ramin b
doi : 10.1097/ICU.0000000000000719
Volume 32(1), January 2021, p 31-44
Purpose of review: Phacoemulsification cataract surgery is one of the most commonly performed surgical procedure worldwide. In the majority of cases, intraocular lenses (IOLs) are implanted. Due to the increasing life expectancy and the fact that cataract surgery is performed in earlier stages, the anticipated IOL duration in the eye has increased over the last decades. The aim of this study was to review the types and describe the characteristics of late intraocular lens opacifications.
Use of presbyopia-correcting intraocular lenses in patients with prior corneal refractive surgery.
Moshirfar, Majid a,b,c; Thomson, Andrew C. d; Thomson, Robert J. d; Martheswaran, Tanisha e; McCabe, Shannon E. a
doi : 10.1097/ICU.0000000000000722
Volume 32(1), January 2021, p 45-53
Purpose of review: Corneal refractive surgery has achieved spectacle-free vision for millions of patients, but this aging population is now developing cataracts. Many of these patients may wish to avoid reliance on glasses after cataract surgery. Presbyopia-correcting intraocular lenses (IOLs) offer a solution, but corneal changes after refractive surgery may compound higher order aberrations and dysphotopic symptoms associated with these IOLs. This review aims to discuss potential factors that could aid in determining suitable postkeratorefractive candidates for presbyopia-correcting IOLs.
Refractive enhancements for residual refractive error after cataract surgery.
Moshirfar, Majid a,b,c; Thomson, Andrew C. d; Thomson, Robert J. d; Martheswaran, Tanisha e; McCabe, Shannon E. a
doi : 10.1097/ICU.0000000000000717
Volume 32(1), January 2021, p 54-61
Purpose of review: Advances in cataract surgery have allowed surgeons to achieve superior refractive outcomes but have also led to higher patient expectations. Despite ever-evolving technology, residual refractive errors still occur. Postcataract refractive enhancements may be required to deliver satisfactory visual outcomes. This review aims to discuss the potential causes of residual refractive errors and the various enhancement modalities to correct them.
Endophthalmitis after cataract surgery: an update on recent advances.
Peck, Travis J.; Patel, Samir N.; Ho, Allen C.
doi : 10.1097/ICU.0000000000000727
Volume 32(1), January 2021, p 62-68
Purpose of review: Prevention and management of postcataract endophthalmitis remain quite relevant for anterior segment and vitreoretinal surgeons. Although the Endophthalmitis Vitrectomy Study, published in 1996, remains the only level 1 evidence for the management of postcataract endophthalmitis, recent advances have resulted in an evolution of practice patterns. The aim of this review is to summarize the literature regarding postcataract endophthalmitis with a focus on the last 18 months.
Visual disturbances during prolonged space missions.
Khossravi, Emily A.; Hargens, Alan R.
doi : 10.1097/ICU.0000000000000724
Volume 32(1), January 2021, p 69-73
Purpose of review: During prolonged spaceflight, astronauts often experience ocular changes, due to constant head-ward fluid shifts in space as compared with Earth. This article reviews symptoms, likely causes, and potential solutions, such as lower body negative pressure, to counteract space-associated neuroocular syndrome (SANS).
Dropless cataract surgery: modernizing perioperative medical therapy to improve outcomes and patient satisfaction
Assil, Kerry K.; Greenwood, Michael D.; Gibson, Andrea; Vantipalli, Srilatha; Metzinger, Jamie L.; Goldstein, Michael H.
doi : 10.1097/ICU.0000000000000708
Volume 32 Supplement 1, January 2021, p S1-S12
Advances in pharmacology offer freedom from topical medical therapy without compromise of anti-inflammatory and antimicrobial coverage in the perioperative period. In this review, we describe the basis for dropless cataract surgery with the goal of improving outcomes and the patient experience.
