JOURNAL OF CATARACT AND REFRACTIVE SURGERY

The JCRS 100 Club
Erratum to: Intraocular lens power calculation accuracy after keratorefractive lenticule extraction with the novel ESCRS post-keratorefractive surgery calculator
Roman L, Rainer W, Martin B, Thomas K, Priglinger SG, Martin D and Luft N
Our Appreciation
Cartwheel cataract, a specific sign of PAX6-related aniridia
Bremond-Gignac D, Daruich A, Valleix S and Robert MP
Real-World Characteristics and Safety Outcomes of 10,000 Eyes Treated with Intracanalicular Dexamethasone Insert: An IRIS® Registry Analysis 2019-2021
Vantipalli S, Mbagwu M, Chang RT, Li S, Akasheh D, Cheung MW, Gurses-Ozden R and Goldstein MH
To characterize real-world patient profiles and safety-related diagnoses from the first 10,000 eyes receiving the dexamethasone intracanalicular insert indicated for the treatment of ocular inflammation and pain following ophthalmic surgery (DEX).
Clinical outcomes of repositioning subluxated in-the-bag intraocular lenses using the flanged belt-loop technique with 6-0 polypropylene
Çakır GY, Kırgız A, Uzun SL, Beşek NK and Ahmet S
To evaluate the clinical outcomes of scleral fixation using the flanged belt-loop technique in patients with in-the-bag intraocular lens (IOL) subluxation following cataract surgery.
The Unmet Need for Multiuse Phacoemulsification Machine Products: Multisociety Position Paper
Chang DF, Findl O, Hovanesian JA, McCabe CM and Repka MX
A Retrospective Analysis of FDA Recalls of Artificial Tear Solutions from 2014-2025
Bhattacharya A and Kang PC
To examine all recalls of artificial tears from 2014-2025 in order to identify the most common types, classes of products, and associated reasons for recalls, and to provide guidance on safety.
Fish-Tail Sign: Posterior Capsular Defect Tracing the Path of an Intraocular Foreign Body
Mahapatra SK, Dhiman S and Kenia RV
A novel open-source calculator for lens tilt and decentration using swept-source AS-OCT: Assessment of interrater agreement and reproducibility
Seiller-Tarbuk K, Puchner S, Regitnig P, Kahraman G and Amon M
To introduce an open-source calculator for quantifying lens tilt and decentration using swept-source anterior segment optical coherence tomography (SS-AS-OCT) images, and to evaluate its reproducibility and independence from evaluator experience.
Segmentation of cataract patients according to their ocular biometry: The LAKE classification
Jiménez-García M, Puzo M, Giménez-Calvo G, Segura-Calvo FJ, Larrosa Povés JM, Castro-Alonso FJ and
To create a classification for cataractous eyes based on their ocular biometry and thus provide a standard to stratify eyes when evaluating intraocular lens (IOL) formulae performance in different groups.
Comparison of Ocular Biometry and Refractive Outcome between IOLMaster 700 and ZW-30
Lin H, Xie X, Gao R, Jing Y, Chen D, Zhang J, Qiu X, Zhang J and Luo L
To compare the ocular biometry and refractive outcome between two optical biometers.
Reply to letter on "Comment on: Efficacy of intracameral moxifloxacin in prevention of post-cataract surgery endophthalmitis: a randomized controlled trial"
Sharma N, Sen A, Sharma M, Bari A, Shakkarwal C, Maharana PK, Agarwal T, Dada T, Gaur S, Joshi R, Das SA, Upadhyay AD and Titiyal JS
A Prospective Study Analyzing Wavefront-Guided LASIK and PRK Surgery Performed by Cornea Fellows in Training
Chung ME and Manche EE
To evaluate visual outcomes in patients with myopia or compound myopic astigmatism in wavefront-guided laser in situ keratomileusis (WFG-LASIK) and photorefractive keratectomy (WFG-PRK) performed by cornea fellows in training.
Comment On: Biomechanical corneal effects of LASIK Xtra compared with conventional FS-LASIK in high myopic eyes
Wallerstein A and Gauvin M
Randomized Comparative Multicenter Study Assessing Two Dispersive Viscosurgical Devices for Cataract Surgery
Fabian E, Janeková A, de Arriba Palomero P, Tañá-Rivero P, Böhringer D, Kretz FT, Pašta J and Touriño-Peralba R
To compare two dispersive ophthalmic viscosurgical devices (OVD), Z-HYALCOAT (investigational) and HEALON EndoCoat (control), with a 3-month postoperative follow-up.
Incidence of TASS and endophthalmitis in 190,000 eyes in a high-volume, multi-surgeon, national network of ambulatory surgical centers using uniform perioperative protocols
Wallerstein A, Lekhi V, Ahmed IK, Harissi-Dagher M, Albert D, Lloyd J, Racine L, Trottier P, Cohen M and Gauvin M
Toxic anterior segment syndrome (TASS) and postoperative endophthalmitis are rare but serious complications of intraocular surgery. Real-world incidence data from high-volume ambulatory surgical centers (ASCs) remain limited. We retrospectively analyzed 190,005 consecutive eyes undergoing cataract surgery or refractive lens exchange between January 2022 and April 2025 across 54 ASC sites. All cases were performed by 172 surgeons using standardized perioperative and sterilization protocols. Suspected TASS and endophthalmitis events were independently validated and centrally reviewed. Ten TASS cases were identified (0.0053%; 95% CI, 0.0029-0.0097%), including one bilateral case, all resolving with topical corticosteroids. Three endophthalmitis cases occurred (0.0016%; 95% CI, 0.0005-0.0046%), each managed successfully with intravitreal antibiotics and vitrectomy as indicated. No clustering was observed. The incidence of TASS and endophthalmitis in this national ASC network was markedly lower than reported in hospital-based studies. These findings support the safety of standardized high-volume ASC environments, including immediate sequential bilateral surgery.
Spherical Equivalent Prediction Analysis in IOL Power Calculations using Barrett Universal II Formula Variations
Figueiredo I, Machado I, Lobo C and Raimundo M
To evaluate the prediction accuracy of the Barrett Universal II (BUII) intraocular lens (IOL) formula variations, including optional biometric parameters and sum-of-segments (SOS) axial length (AL) modification, for IOL power calculation in cataract surgery.
Risk Factors for the Occurrence of Reverse Pupillary Block after Intraocular Lens Fixation Surgery
Yuma M, Jujo T, Sato K, Sekine R, Fujita N, Uchiyama N, Kakehashi K, Endo A, Tokuda N and Kitaoka Y
To identify risk factors for reverse pupillary block (RPB) by retrospectively analyzing anterior segment OCT (AS-OCT) images following intraocular lens (IOL) fixation surgery.
Cataract Surgery in the Context of Age-Related Macular Degeneration: Challenges and Considerations
Zarei-Ghanavati S, Shariati MM, Hadi Y, Khazaei S and Yoo SH
Age-related macular degeneration (AMD) and cataracts commonly coexist in the aging population, posing unique diagnostic and therapeutic challenges for ophthalmologists. While cataract surgery can substantially improve visual function, outcomes are often influenced by the type and severity of underlying macular pathology. This narrative review explores current evidence on the impact of cataract surgery in AMD patients, including preoperative assessment strategies, intraoperative considerations, and postoperative visual expectations. The role of multimodal imaging in detecting subclinical macular changes, advanced intraocular lenses, and the debated relationship between cataract surgery and AMD progression are discussed. Emphasis is placed on personalized patient selection and counseling to optimize outcomes. Overall, with appropriate planning and patient-centered care, cataract surgery remains a safe and beneficial intervention for most individuals with AMD.
A Dose-Selection Study of Clobetasol Propionate Ophthalmic Suspension that Evaluated Inflammation and Pain after Cataract Surgery
Levenson J, Walters TR, Martel J, Wang L and Nunez DJ
To evaluate clobetasol propionate ophthalmic suspension (CPN) as treatment for inflammation and pain after cataract surgery.