Chirurgie de la cataracte

Bibliographie

Biométrie

Accuracy of intraocular lens formulas using total keratometry in eyes with previous myopic laser refractive surgery

Eye, 2021

Tun Kuan Yeo, Wee Jin Heng, Don Pek, John Wong, Han Bor Fam

Conclusions : Formulas combined with TK achieve similar or better results compared to existing no-history post-myopic laser refractive surgery formulas.

Prediction Accuracy of Total Keratometry Compared to Standard Keratometry Using Different Intraocular Lens Power Formulas

Journal of Refractive Surgery, 2019

Ekkehard Fabian, Wolfram Wehner

Conclusions : In comparison to standard K, a higher prediction accuracy can be expected by using TK values along with the two newly developed formulas. TK values are compatible with standard IOL power calculation formulas and existing optimized IOL constants.

Enhanced Penetration for Axial Length Measurement of Eyes with Dense Cataracts Using Swept Source Optical Coherence Tomography: A Consecutive Observational Study

Ophthalmology and Therapy, 2018

Nino Hirnschall, Ralph Varsits, Birgit Doeller, Oliver Findl

Conclusions : ss-OCT technology significantly improves the rate of attainable axial eye length measurements, especially in eyes with posterior subcapsular cataracts, but also in eyes with dense nuclear cataracts, except for white cataracts.

Implants Intraoculaires

Visual Outcomes of a New Hydrophobic Trifocal Intraocular Lens in Cataract Treatment: A Prospective Clinical Study

Journal of Ophthalmology 2025

Journal of Ophthalmology 2025

Andrea Janeková, Peter Mojžiš, Iveta Němcová, Marek Kačerík, Pavol Veselý, Lucia Hrčková

Conclusions : Implantation of the new AT ELANA 841P IOL following cataract extraction is safe and effective. Visual acuities at all distances, refractive outcomes, and contrast sensitivity were favorable at 4-6 months postoperatively, providing patients with satisfactory far, intermediate, and near vision

Visual and functional outcomes of a new diffractive trifocal intraocular lens with smooth micro phase technology in patients undergoing cataract surgery

International Journal of Ophthalmology 2025

Javier Mendicute, Gorka Lauzirika, Maider Arratibel-Alkorta, Ane Pérez-Sarriegui,Igor Illarramendi

Conclusions : The AT ELANA 841P IOL offers excellent visual outcomes across distance, intermediate, and near ranges, along with satisfactory contrast sensitivity. Additionally, the lens is associated with high patient satisfaction and minimal visual difficulties during daily activities

Preliminary findings from a retrospective comparative study on a novel hydrophobic C-loop monofocal intraocular lens

Scientific Reports volume 15, Article number: 11081 (2025)

Youngsub Eom, Jeongmin Kim, Hungwon Tchah & Kyungmin Koh

Conclusions : There was no difference in UDVA, UNVA, and objective optical quality between CT LUCIA and ZCB00 groups. On the other hand, UIVA was higher in the CT LUCIA group (0.19 ± 0.12 logMAR) compared to the ZCB00 group (0.32 ± 0.05 logMAR; p < 0.001). For all tested pupil sizes, the MTFRMS values for both CT LUCIA and ZCB00 IOLs were similar across defocus ranges from +1.00 to −0.75 D. However, the CT LUCIA IOL consistently exhibited higher MTFRMS values than the ZCB00 IOL at defocus levels from −1.25 to − 2.50 D. The CT LUCIA IOL provides comparable distance visual acuity and optical quality to ZCB00 IOL, with superior performance at intermediate distances.

Preliminary Evaluation of Clinical and Non-Clinical Outcome Metrics in Patient Satisfaction After Implantation of a Non-Constant Aberration-Correcting Monofocal IOL

Clinical Ophthalmology 2025:19 795–806

Steven C Schallhorn, David Teenan, Jan A Venter, Julie M Schallhorn, Stephen J Hannan

Conclusions : Satisfaction of cataract patients implanted with a monofocal IOL remains high. When evaluating postoperative satisfaction, non-clinical factors and interactions with other patient-reported outcomes (visual phenomena or dry eye) should not be underestimated.

Comparison of Short-Term Clinical Outcomes After Implantation of Two Monofocal, Aspheric Intraocular Lenses

Diagnostics 2024, 14(24), 2862

Jeewon Han, Yea Eun Lee, Nahyun Park, Chung Min Lee, Yoo Young Jeon, Hayoung Lee, Kyu Sang Eah, Yeji Yoon, Ho Seok Chung, Jae Yong Kim, Jiwon Jeong & Hun Lee

Conclusions : The visual acuity and defocus curves of the Lucia and Eyhance groups were comparable 1 month post-cataract surgery. The Lucia group’s superior contrast sensitivity and lower postoperative internal spherical aberration were due to differences in IOL designs, particularly the power variation patterns.

Long-Term Efficacy, Visual Performance and Patient Reported Outcomes with a Trifocal Intraocular Lens: A Six-Year Follow-up

Journal of Clinical Medicine, 2021

Joaquín Fernández, Manuel Rodríguez-Vallejo, Javier Martínez, Noemi Burguera, David P. Piñero

Conclusions : Long-term AT LISA Tri 839MP IOL efficacy results were equal or better than those reported 12 months postoperatively in previous studies. The spectacle independence and satisfaction rates were comparable to those reported in short-term studies. 

Phacoémulsification

Comparative Clinical Study of Surgical Performance of Quatera 700 versus Centurion and Signature Pro Phacoemulsification Systems

Clin Ophthalmol. 2024 Sep 23:18:2685-2695

Sri Ganesh, Sheetal Brar, Supriya Sriganesh, Hemali D Bhavsar

Conclusions : The new Quatera 700 system resulted in lesser TPT (Total Phaco Time), fluid turnover and phaco + I/A time than Signature Pro, while its performance was comparable to Centurion for these parameters. Moreover, the surgeon graded intra-operative chamber stability scoring was highest, when compared to the other two systems.

Experimental study comparing 2 different phacoemulsification systems with intraocular pressure control during steady-state flow and occlusion break surge events

Journal of Cataract & Refractive Surgery 49(9):p 976-981, September 2023

Fanney, Douglas ; Layser, Gregory S. ; K, Akhil R. ; Kohlhammer, Susanne ; Kübler, Christoph ; Seibel, Barry S.

Conclusions : Quatera demonstrated slightly higher surge peak values and notably shorter surge duration times after occlusion break than Centurion. Quatera demonstrated better incision leakage compensation and lower passive vacuum than Centurion.