Journal of Cataract and Refractive Surgery (J CATARACT REFR SURG )

Publisher: American Society of Cataract and Refractive Surgery; European Society of Cataract and Refractive Surgeons, Elsevier


The Journal of Cataract & Refractive Surgery (JCRS), a preeminent peer-reviewed monthly ophthalmology publication, is the official journal of the American Society of Cataract and Refractive Surgery (ASCRS) and the European Society of Cataract and Refractive Surgeons (ESCRS). JCRS publishes high quality articles on all aspects of anterior segment surgery. In addition to original clinical studies, the journal features a consultation section, practical techniques, important cases, and reviews as well as basic science articles.

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  • Website
    Journal of Cataract & Refractive Surgery website
  • Other titles
    Journal of cataract and refractive surgery, Journal of cataract & refractive surgery
  • ISSN
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  • Material type
    Periodical, Internet resource
  • Document type
    Journal / Magazine / Newspaper, Internet Resource

Publisher details


  • Pre-print
    • Author can archive a pre-print version
  • Post-print
    • Author can archive a post-print version
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    • Pre-print allowed on any website or open access repository
    • Voluntary deposit by author of authors post-print allowed on authors' personal website, or institutions open scholarly website including Institutional Repository, without embargo, where there is not a policy or mandate
    • Deposit due to Funding Body, Institutional and Governmental policy or mandate only allowed where separate agreement between repository and the publisher exists.
    • Permitted deposit due to Funding Body, Institutional and Governmental policy or mandate, may be required to comply with embargo periods of 12 months to 48 months .
    • Set statement to accompany deposit
    • Published source must be acknowledged
    • Must link to journal home page or articles' DOI
    • Publisher's version/PDF cannot be used
    • Articles in some journals can be made Open Access on payment of additional charge
    • NIH Authors articles will be submitted to PubMed Central after 12 months
    • Publisher last contacted on 18/10/2013
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Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Volume 40, Issue 9, Page 1572, September 2014
    Journal of Cataract and Refractive Surgery 09/2014; 40(9):1572.
  • [Show abstract] [Hide abstract]
    ABSTRACT: To evaluate the effect of cataract surgery on intraocular pressure (IOP) in patients with narrow angles and chronic angle-closure glaucoma (ACG) and to determine whether the change in IOP was correlated with the preoperative pressure, axial length (AL), and anterior chamber depth (ACD).
    Journal of Cataract and Refractive Surgery 08/2014;
  • [Show abstract] [Hide abstract]
    ABSTRACT: Cataract surgery has been demonstrated to lower intraocular pressure (IOP) in eyes with glaucoma. The evidence is strong in angle-closure patients that cataract surgery improves IOP and dramatically reduces the future risk for IOP spikes and acute attacks. Randomized controlled trials (RCTs) have shown that cataract surgery may be preferable to laser iridotomy or phacotrabeculectomy. The data are so convincing that an RCT has been undertaken to assess whether clear lens extraction may be appropriate following acute attacks and in cases of uncontrolled IOP. The case favoring cataract surgery in open-angle glaucoma (OAG) is more controversial. Impressive IOP reduction has been shown in OAG patients when the patients are stratified by preoperative IOP. The patients with the highest preoperative IOPs have pressure reductions up to 8.5 mm Hg. However, these findings have been criticized for methodological weaknesses. Combining cataract surgery with microinvasive glaucoma surgery in phaco-plus procedures provides further options for lens-based glaucoma surgery.
    Journal of Cataract and Refractive Surgery 08/2014; 40:1255-1262.
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    ABSTRACT: Purpose To analyze the influence of specific demographic and ocular factors on ocular residual astigmatism (ORA) in myopic patients scheduled for LASIK. Setting University Medical Center Hamburg-Eppendorf, Germany. Design Retrospective, cross-sectional data analysis. Methods We studied 2991 eyes from 2991 consecutive myopic patients who were scheduled for LASIK to investigate the influence of age, gender, the ocular dominance, subjective cylinder and topographic astigmatism, subjective sphere, and mesopic pupil size on preexisting ORA. The ORA was determined using Alpins´ vector analysis. Two subgroups defined by the ratio of ORA to preoperative refractive cylinder (R) were formed (ORA/R of ≥1.0 vs. <1.0). Results The mean ORA was 0.75 ±0.39 D (range, 0 to 2.00 D), 1372 (46%) eyes had ORA of 1.00 D or more. By applying Ordinary-least-square-estimation and Odds Ratios we showed that the subjective sphere, male gender, and the dominant eye were negative predictors for the degree of preoperative ORA, while increasing age and larger mesopic pupil sizes did not indicate an orientation of ORA. With-the-rule astigmatism meridian was more likely in eyes with low ORA while oblique and against-the-rule meridia were connected to high ORA. Conclusions The preoperative assessment of refractive surgery candidates should consider the interaction between topographic, refractive and ocular residual astigmatism as corneal refractive surgery is more successful in eyes where the cylinder mainly originates from the anterior cornea. The current data help to identify patients that are at high risk of having a significant difference between subjective cylinder and topographic astigmatism.
    Journal of Cataract and Refractive Surgery 11/2013;
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    ABSTRACT: Purpose To examine the impact of seasonality on refractive and visual outcome of laser in situ keratomileusis (LASIK) in myopic eyes. Setting Department of Ophthalmology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany and Care Vision Refractive Centers, Germany Design Retrospective, cross-sectional data analysis. Methods This study comprised 1052 eyes of 1052 consecutive myopic patients (419 males, 633 females; mean age at surgery 35.0±9.0 years) with mean preoperative refractive spherical equivalent (SE) of - 3.88±1.85 diopters (D). Two subgroups were defined, comprising patients undergoing surgery during either meteorological winter or summer. Manifest refraction, uncorrected and corrected visual acuity were assessed pre- and postoperatively. We applied robust regression analysis with efficiency index (EI), safety index (SI), and postoperative SE (in D) as dependent variables. Results At the 1-month (33.0±5.0 days) follow-up, the mean postoperative SE was -0.18±0.44 D. The EI of eyes with refractive surgery during summer was 0.023 higher (P=0.032) compared to those treated during winter, thereby indicating less efficiency. For the SI and postoperative SE, differences between summer and winter were not statistically significant. No change of more than one line on logMar scale was obtained. Conclusions Although being statistically significant, there is no clinically relevant difference in outcome of LASIK, which demonstrates its highly standardized quality. Prospective, longitudinal studies are warranted to address meteorotropic reactions through evaluating defined meteorological parameters.
    Journal of Cataract and Refractive Surgery 11/2013;
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    ABSTRACT: A 61-year-old woman presented with a paracentral buttonhole flap defect associated with a linear tear, extensive epithelial ingrowth, and macrostriae in the right eye. A laser in situ keratomileusis enhancement had been performed 3 weeks earlier. The epithelial ingrowth was removed after careful lifting of the flap, and tissue adhesive was used postoperatively as a barrier to further ingrowth. Six months postoperatively, the patient's corrected distance visual acuity had improved to 20/20 and the slitlamp examination showed no evidence of recurrent epithelial ingrowth. This case presents a novel approach to the management of a buttonhole defect. Financial Disclosure Neither author has a financial or proprietary interest in any material or method mentioned.
    Journal of Cataract and Refractive Surgery 10/2012; 38:1857–1860.
  • Journal of Cataract and Refractive Surgery 03/2012; 38(3):485-94..
  • Journal of Cataract and Refractive Surgery 04/2010; 36(4):698–699.
  • Journal of Cataract and Refractive Surgery 10/2009; 35(10):1840.
  • Journal of Cataract and Refractive Surgery 05/2009; 35(5):799.
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    ABSTRACT: To directly compare intraoperative and clinical parameters using a torsional handpiece through microincision and standard clear corneal cataract wounds with appropriately configured tips and sleeves. Duke University Eye Center, Durham, North Carolina, USA. Cataracts in both eyes of 32 patients needing bilateral surgery were extracted using the OZil torsional handpiece. Tips and sleeve selections were optimized for the incision chosen. Right eyes had cataract surgery using a standard method consisting of a 2.8 mm incision with a 0.9 mm tapered 30-degree bevel Kelman configuration tip with a Microsleeve. Left eyes had cataract surgery through a 2.2 mm microincision using a 0.9 mm miniflared 45-degree bevel Kelman configuration tip with an Ultrasleeve. Intraoperative measurements included cumulative dissipated energy (CDE) and balanced salt solution use. Clinical measurements included preoperative and 1-day postoperative central corneal thickness (CCT), preoperative and 6-month postoperative endothelial cell count (ECC), and preoperative and postoperative anterior segment optical coherence tomography (AS-OCT). Intraoperatively, the microincision (2.2 mm) group had less CDE use than the standard incision (2.8 mm) group (P= .001). Clinical measurements showed less ECC loss at 6 months in the microincision group (P<.05). No difference in CCT or AS-OCT findings was detected between groups. Phacoemulsification using the OZil torsional handpiece through a microincision with an Ultrasleeve and a 45-degree miniflared tip showed favorable clinical and intraoperative characteristics such as less total energy use and less endothelial cell loss at 6 months. Further studies are warranted to substantiate these preliminary findings.
    Journal of Cataract and Refractive Surgery 05/2009; 34(12):2091-5.
  • Journal of Cataract and Refractive Surgery 04/2009; 35(3):407.
  • Journal of Cataract and Refractive Surgery 04/2009; 35(3):405-6.
  • Journal of Cataract and Refractive Surgery 04/2009; 35(3):409.