Moderator
Lisa McIntire, MD, ABO
Panelists
Robin R. Vann, MD, ABO
Michelle E Akler, MD, ABO
Viewing Papers
Expand a paper title to the right to view the paper abstract and authors. Use the video link to jump to that poster in the session.
Presenting Author
Haripriya Aravind, MD
Co-Authors
Keerthana Soundararajan MBBS, MS
Purpose
To analyze the impact of repeat hydrodissection after phacoemulsification on cortex removal in cataract surgery.
Methods
A randomized controlled trial was conducted in 282 eyes to compare two methods of managing cortex aspiration in cataract surgery. Participants were randomly assigned to one of the two groups. In Group I, the surgeon performed repeat hydrodissection before proceeding to cortex aspiration. In Group II, the surgeon proceeded directly to cortex aspiration without additional hydro manoeuvres. The volume of fluid consumed for cortex aspiration (in cc) was calculated by subtracting the values recorded from the console after phacoemulsification from those recorded after cortex aspiration. The video recordings were reviewed to assess the time consumed for cortex aspiration.
Results
The fluid consumption median volume of fluid used for cortex aspiration in Group I was 5 cc with an interquartile range (IQR) of [3-8], while in Group II, the median volume was 7 cc with an IQR of [5-10]. (p<0.001). the="" median="" time="" taken="" for="" cortex="" aspiration="" in="" group="" i="" was="" 23="" seconds="" with="" an="" iqr="" of="" [16-33],="" compared="" to="" a="" median="" time="" of="" 26="" seconds="" with="" an="" iqr="" of="" [20-38]="" in="" group="" ii.="" (p="0.0024)." nil="" complications="" were="">
Conclusion
The study shows that Group I, which involved repeat hydrodissection, was associated with reduced fluid consumption and a faster completion of the cortex aspiration phase compared to Group II.
Presenting Author
Miguel O. Ibanez-Esparza, MD
Co-Authors
Roberto Gonzalez-Salinas MD, PhD, Miguel Castro Monreal MD, Claudia Ordo�ez Sierra MD, Emmanuel Alquicira Marcue MD
Purpose
To compare the rate of refractive surprise and the mean absolute error (MAE), between patients with pseudoexfoliation glaucoma (GPX), those with pseudoexfoliation without glaucoma, and healthy controls, all undergoing phacoemulsification. The study also aims to identify risk factors for refractive surprise based on biometric data.
Methods
The study employed a cross-sectional, retrospective, observational, and comparative design. A total of 252 cataract patients who underwent phacoemulsification and intraocular lens implantation between July 2023 and March 2024 at the Asociaci�n para Evitar la Ceguera en M�xico, IAP, in Mexico City were analyzed. Patients were divided into three groups: those with pseudoexfoliation syndrome without glaucoma, those with secondary glaucoma due to pseudoexfoliation, and healthy controls. All participants were over 40 years old and had a minimum follow-up of 6 weeks. Refractive and visual outcomes, along with the mean absolute error (MAE) and refractive predicted error (RPE), were reported.
Results
Patients with pseudoexfoliation glaucoma (GPX) had significantly higher median and mean absolute errors (MedAE, MAE) than controls, indicating a greater risk of postoperative refractive surprises. GPX patients also exhibited increased postoperative myopia, likely due to reduced anterior chamber depth affecting effective lens position (ELP). Pseudoexfoliation syndrome without glaucoma (PEX) had refractive outcomes closer to controls but with higher postoperative astigmatism. GPX had the poorest visual outcomes, with fewer patients achieving uncorrected visual acuity within �0.50 D. Control outcomes were most predictable, with 80% achieving this target, compared to 61% (PEX) and 59% (GPX).
Conclusion
Patients with pseudoexfoliation syndrome, especially those with glaucoma (GPX), face higher postoperative refractive errors and less predictable outcomes after cataract surgery. Accurate lens calculations and detailed preoperative assessments are essential to minimize refractive surprises in these populations.
Presenting Author
Jonathan Halim, MBBS, MSc
Co-Authors
Sharmina Khan FRCOphth, MBBS, MSc, Eleonora Micheletti FEBO, MD, Nakul Mandal PhD, FEBO, MD, Maria Laura Dari FEBO
Purpose
The displacement of crystalline lens fragments into the vitreous cavity �Dropped Nucleus� is a rare but potentially serious intraoperative complication of phacoemulsification cataract surgery. We aim to provide an insight into the outcomes of dropped nuclei after phacoemulsification cataract surgery.
Methods
A retrospective review of continuous cases with dropped nucleus during cataract surgery from January 2020 to December 2023. Patients who underwent phacoemulsification cataract surgery followed by unplanned fragmatome within 30 days were included. Demographic and perioperative data were collected with outcomes comprising visual acuity (VA), intraocular pressure (IOP), patient co-pathologies including posterior capsular rupture (PCR) risk factors, intra- and post-operative complications analyzed. A good visual outcome was defined as a post-operative best-corrected VA (BCVA) of ?6/12.
Results
Of the 67,157 cataract surgery cases identified, 132 (0.2%) were complicated with a dropped nucleus. Median age was 72 years and the median number of days from initial procedure to fragmatome was 5 days. Good visual outcomes were achieved in 94 cases (71%). Median final IOP was 13 mmHg (range 5-57 mmHg). Most patients required 2 (n=83) or 3 (n=42) operations in total and none developed endophthalmitis. Hypermature cataracts were present in 59 cases (44%) and were significantly associated with poor visual outcomes (p=0.02). Surgeon grade and other ocular co-pathologies known to increase PCR risk were not significantly associated with poor visual outcomes.
Conclusion
The overall outcomes of dropped nuclei were favorable, even with pre-existing risk factors. Timely recognition by senior surgeons ensured emergent management of the dropped nuclei during primary surgery; minimizing tissue damage and maintaining corneal clarity. Close post-operative management was vital to facilitate successful subsequent surgery.
Presenting Author
Ghada Aljuhani, MBBS
Co-Authors
Abdulrahman Alahmadi MBBS
Purpose
Keratoplasty is a valuable surgical management option in various corneal pathologies; however, achieving optimal refractive status following keratoplasty remains challenging due to irregular astigmatism. This study aimed to comprehensively review the current data on the effectiveness of secondary IOL implantation in post-keratoplasty patients.
Methods
We searched two databases for mesh terms: keratoplasty, implantable Collamer lens, ICL, iris claw, and piggyback. This review followed the PRISMA guideline for 2020. We included studies reporting surgical outcomes such as visual acuity, refractive error, and complications.
Results
Our review included thirteen studies. Among the articles that met our inclusion criteria, seven assessed the efficacy of the ICL; four evaluated iris-claw IOL and two examined piggyback IOL. The spherical equivalent (SE) was used as a statistical outcome measure, and the mean difference of the SE across all the studies we looked at was (-6.37) with a 95% confidence interval of (-7.89 to -4.84) P < 0.00001. The pooled SE of the ICL subgroup compared to the iris-claw IOL was (-7.53), and (-4.18), respectively.
Conclusion
In conclusion, secondary IOL implantation is an excellent way to treat residual refractive error in keratoplasty patients. Further randomized control trials are needed to assess its long-term efficacy and safety in post-keratoplasty patients.
Presenting Author
Perla Ibrahim, MD
Co-Authors
Samir Melki PhD, MD, Francesca Kahale MD
Purpose
Our aim is to assess satisfaction with monovision after light adjustable lens insertion, with the near eye target set around -1.25 D. LAL implantation is advantageous for this purpose, as it allows for easy adjustment of the target refraction if the outcome doesn't meet patients' expectations, providing an accurate measure of monovision success.
Methods
A retrospective chart review was conducted on patients who underwent cataract surgery or clear lens extraction with Light Adjustable Lens (LAL) implants at our center between August 2021 and July 2024. Data collected included patient age, gender, initial refractive target, adjusted refractive target between treatments as recorded by the Light Delivery Device (LDD), manifest refraction at each post-operative visit, the number of LAL treatments, and the timing of those treatments. Eyes were categorized as �Distance� if the target was emmetropia and �Near� if the target was around -1.25 D.
Results
A total of 446 eyes were evaluated: 229 (51%) Distance and 217 (49%) Near. Among the Distance eyes, 47% needed 1 treatment, 31% needed 2, and 22% needed 3 to reach the refractive target. In the Near eyes, 41% needed 1 treatment, 41% needed 2, and 18% needed 3. Notably, 48% of Near eyes had a refractive target change between treatments, but the average adjustment was only around 0.25D. Specifically, 42% preferred a slightly more myopic target (average change -0.4D), 4% prefered a slightly less myopic target (average change +0.5D), and 2% decided to change the target from near to distance targeting emmetropia (average change +1.4D)
Conclusion
When given the choice while undergoing in-office adjustment with LAL, 2% of patients elected to change their monovision near eye to target distance while 4% requested a lower myopic target by an average of +0.5D. This suggests that monovision is a highly desirable option for patients undergoing cataract surgery or clear lens extraction.
Presenting Author
George H. Beiko, BM BCh, FRCSC
Co-Authors
Samantha Orr MD
Purpose
To review consecutive cases of dislocated in the bag IOLs managed by the belt loop scleral fixation technique.
Methods
Retrospective review of 71 consecutive cases managed using the belt loop scleral fixation scleral fixation technique.
Results
71 consecutive cases were identified since 2021; 58% involved a single piece IOL. There were 71 eyes of 61 patients. The age at presentation was 81.46 +/-8.68 years of age (range 51 - 95). These cases presented 11.23 +/- 7.03 years after surgery (range 1 week - 29 years). These cases were followed for 11.04 +/- 16.19 months (range 1.0 day -120 months). Logmar vision improved from 0.69 +/- 0.32 (range 0.2 � 1.0 ) to 0.34 +/-0.27 (range 0 -1.0). Post-op findings of transient vitreous hemorrhage in 4 eyes, CME in 8 eyes and one eye had prolonged corneal edema. Only one eye had recurrent dislocation of the iol following significant blunt trauma to the eye.
Conclusion
Belt loop scleral suture fixation using 9-0 prolene is an effective and safe method of managing dislocated in the bag IOLs.
Presenting Author
Luis R Alvarez Fern�ndez, MD
Co-Authors
Roberto Gonzalez-Salinas MD, PhD, Sabrina Munita MD, Andr� Tapia Vazquez MD, Claudia Ordo�ez Sierra MD, Ximena Luna MD
Purpose
Purpose: To determine lens independence using the VFQ-25 questionnaire (Visual Functioning Questionnaire-25) in patients with bilateral mix-and-match implants. Question: Is there optimal spectacle independence measured by the VFQ-25 questionnaire score in patients with a mix-and-match IOL implant?
Methods
Desing: Prospective, cross-sectional, observational, descriptive, analytical study. Methods: Patients who underwent phacoemulsification surgery with the mix-and-match technique by placing a non-diffractive EDoF lens in the dominant eye (Acrysof IQ Vivity) and a diffractive trifocal lens in the non-dominant eye (AcrySof IQ PanOptix) were included. The VFQ-25 questionnaire was performed 6 weeks after surgery to evaluate glasses independence, a binocular defocus curve with Multifocal(+0.50 to -4.00 +0.50 to -4.00 with Multifocal Lens Analyzer) and a contrast sensitivity test (CSV-1000) were performed.
Results
54 patients were included, determining through the VFQ-25 questionnaire a total independence from glasses of more than 90% to carry out their daily activities at both far, intermediate and near distances, the binocular defocus curve showed a continuous line that ranges from 0.21 LogMar as maximum up to 0.12 LogMar as a minimum and it is observed how the binocular contrast sensitivity increases due to the non-diffractive EDoF lens compared to if only the diffractive trifocal lens was placed.
Conclusion
The mix-and-match technique provides the best of the technology of these 2 intraocular lenses, offering a better quality of life, total spectacle independence and better sensitivity to binocular contrast.
Presenting Author
Chung Min Lee, MD
Co-Authors
Hayoung Lee MD, Hoseok Chung MD, Kyu Sang Eah MD
Purpose
This study aimed to examine the relationship between postoperative outdoor activity levels and patient-reported visual outcomes and validate the clinical applicability of the Cataract-related Visual Function Questionnaire (CVFQ) in a Korean population.
Methods
This retrospective study included 90 eyes from patients who underwent standardized cataract surgery with implantation of TECNIS Eyhance intraocular lenses. Patients were divided into two groups based on their average daily outdoor activity time during the first postoperative month: Groups 1 (?3 h/d) and 2 (>3 h/d). Assessments included CVFQ (a patient-reported outcome measure), objective vision, and ocular surface parameters.
Results
Group 1 patients reported significantly higher CVFQ scores for daytime (P = 0.020) and nighttime driving (P = 0.037) than Group 2 patients, indicating less discomfort during driving. No significant differences were observed between groups for the other CVFQ subcategories or ocular surface parameters, including tear breakup time, Oxford score, Sj�gren's International Collaborative Clinical Alliance score, and Ocular Surface Disease Index score.
Conclusion
This study highlights the potential impact of outdoor activity levels on postoperative visual recovery and satisfaction, particularly for visually demanding tasks, such as driving. These findings suggest that recommendations concerning outdoor activities could help optimize recovery and improve patient satisfaction.
Presenting Author
Vinita Yadav, MS, MBBS
Co-Authors
Naren Shetty MS, PhD
Purpose
To study effect of CTR implantation & haptic orientation in determining IOL contact with posterior capsule (PC) using intraoperative OCT (iOCT).
Methods
Prospective interventional study comprising of 2 arms. Patients underwent routine phacoemulsification with an IOL performed by single senior surgeon.50 eyes in arm 1 were imaged using intraoperative OCT with haptics oriented horizontally and vertically. 51 eyes in arm 2 were imaged before and after implantation with a CTR, post placement of PCIOL. Vertical height between posterior capsule & IOL was measured.
Results
In arm 1, distance between posterior capsule & IOL was significantly lesser with haptics vertically oriented. In arm 2, distance between IOL and PC significantly reduced after CTR implantation (p-value<0.001) which="" was="" highest="" with="" ctr="" size="" 13mm="" and="" lowest="" with="" ctr="" size="">
Conclusion
Contact between the PC and IOL increases with vertical haptic orientation and CTR implantation. This enhanced contact may boost refractive stability and capsular compatibility. Better IOL-PC contact can reduce IOL rotation, particularly in the early postoperative phase.
Presenting Author
Ori Saban, MD
Co-Authors
Julie Schallhorn MD
Purpose
To examine the association between the preoperative history of corneal refractive surgery and postoperative outcomes in patients undergoing bilateral cataract surgery with the implantation of a diffractive intraocular lens (IOL).
Methods
This retrospective analysis compared two cohorts of patients undergoing cataract surgery with bilateral implantation of a diffractive multifocal IOL, with (n=948) and without (n=22,328) prior history of laser refractive surgery (LVC). Monocular and binocular uncorrected distance (UDVA), and near (UNVA; 40cm) visual acuities and patient-reported outcomes were compared. One-month and three-month postoperative outcomes were analyzed.
Results
The analysis included outcomes from 23,276 eyes, with 51.2% female patients and a mean age of 57.56�7.38 years. Mean LogMAR UDVA was better for those without prior LVC at 1 month (0.03�0.12 vs. 0.08�0.15, p<0.001) and="" 3="" months="" (0.03�0.13="" vs.="" 0.06�0.14,=""><0.001). unva="" was="" comparable="" at="" both="" time="" points.="" satisfaction="" rates="" were="" higher="" at="" 1="" month="" for="" patients="" without="" prior="" lvc="" (87.11%="" vs.="" 79.88%,="" p="0.01)" but="" similar="" at="" 3="" months.="" mean="" aggregate="" photic="" phenomena="" scores="" were="" higher="" in="" the="" no="" prior="" lvc="" group="" at="" 1="" month="" (1.84�3.80="" vs.="" 1.47�3.53,="" p="0.03)" and="" 3="" months="" (1.49�3.38="" vs.="" 1.09�3.02,="" p="0.01)." at="" 3="" months,="" more="" patients="" without="" prior="" lvc="" would="" recommend="" surgery="" (92.87%="" vs.="" 86.67%,="" p="">
Conclusion
This large-scale study indicates that while UDVA outcomes were slightly better in the non-LVC group, overall outcomes with diffractive IOLs were comparable for patients with and without prior LVC. Notably, photic phenomena was not found to be higher for the LVC group.
Presenting Author
Bhupesh Singh, DOMS
Co-Authors
Sudhank Bharti MS
Purpose
To know the safety and efficacy of Phakic implants as piggy back lens in operated eyes.
Methods
This is retrospective chart review of 12 eyes of 12 patients operated for cataract surgery in radial keratotomy eyes were included in the study. Phakic Toric ICL implants were used to correct the residual refractive error post cataract surgery in these eyes. Patients were followed up for 12 months.
Results
All patients achieved UCVA of 20/30. Good vault height 656 + 230 micron was noted in all eyes. No intraocular pressure rise was seen in any of these eyes. Pigment dispersion was noted in 1 eye.
Conclusion
This is a safe and effective modality to correct residual refractive error in post RK pseudophakic eyes.
Presenting Author
Andrew Kopstein, MD
Co-Authors
Kelley Olson BA
Purpose
This study evaluates visual acuity outcomes in patients implanted with a new light adjustable lens model with slightly extended depth of focus built in. The goal is to assess the effectiveness of the new model in delivering high-quality distance and near vision after postoperative adjustments compared to the standard model adjustable lens.
Methods
A total of 83 patients with no prior history of refractive surgery were bilaterally implanted with the new adjustable lens model at K2 Vision. The patient group consisted of 68 individuals targeted for blended vision, 12 for bilateral emmetropia, and 3 for bilateral myopia. After ocular healing and refractive stabilization, all patients underwent a series of up to three light treatments to correct spherical and cylindrical refractive errors. The treatments were followed by two lock-in treatments to finalize the adjusted refractive power of the lens.
Results
Following adjustments, 98% of the 83 patients achieved 20/20 or better uncorrected distance vision, while 87% attained J1 or better near vision. These outcomes suggest that the new model provides superior visual results compared to the standard model, which had 87% of patients reaching 20/20 or better distance vision and 80% achieving J1 or better near vision. The new model demonstrated significant improvements in both distance and near vision, showcasing its effectiveness in enhancing visual acuity postoperatively.
Conclusion
The new lens provides excellent visual acuity immediately after surgery and further improvements after adjustment. Its ability to enhance depth of focus and allow for precise customization makes it an effective option for improving visual outcomes and patient satisfaction after cataract surgery.
Presenting Author
Dilara Altun, MD
Co-Authors
Ozlem Evren Kemer MD, Feyza Isik MD, Ay�a Bulut Ustael MD, Emine Esra Karaca MD
Purpose
To evaluate intraocular lens (IOL) power calculation accuracy and visual outcomes in phacoemulsification after deep anterior lamellar keratoplasty (DALK) and penetrating keratoplasty (PKP).
Methods
This retrospective study examined 31 eyes(16 female, 15 male; mean age 60.7 years)underwent phacoemulsification following DALK (n=10) or PKP (n=21).Mean interval between procedures was 11.5 months.Preoperative evaluation included Pentacam topography and Lenstar 900 optical biometry.IOL power was calculated using SRK/T and Barrett Universal II formulas,with Pentacam Holladay equivalent keratometry (EKR-65) centered on a 4.0 mm zone.Phacoemulsification with in-the-bag IOL implantation was performed in 27 eyes; 2 received sulcus IOLs,and 2 remained aphakic. Postoperative assessments at 1, 3, and 6 months included visual acuity, refraction,ECD and IOL position.
Results
Preoperative evaluation included Pentacam topography and Lenstar 900 optical biometry.IOL power was calculated using SRK/T and Barrett Universal II formulas,with Pentacam Holladay equivalent keratometry (EKR-65) centered on a 4.0 mm zone.Postoperative assessments at 1,3, and 6 months included visual acuity, refraction,ECD and IOL position.The postoperative visual acuity of the patients significantly improved, and a meaningful difference was found between the preoperative values.A statistically significant difference was found between the optical biometric K1 and EkrK1, K2 and EkrK2, as well as between the EKR-GIL and optical biometric GIL calculations.
Conclusion
Cataract surgery performed with graft preservation showed good results due to reduced astigmatism and high final graft survival. Due to irregular astigmatism after keratoplasty, calculating GIL using the EKR-65 compared to optical biometry may also be preferred.Further prospective studies are warranted to validate these findings.
Presenting Author
Perla Ibrahim, MD
Co-Authors
Nagib Salameh MD, Jason Brenner MD, Samir Melki PhD, MD
Purpose
This study evaluates the rate of cystoid macular edema (CME) after cataract surgery in patients implanted with light-adjustable lenses (LAL), compared with patients who had traditional phacoemulsification with regular monofocal IOL, and those who had femtosecond laser-assisted cataract surgery (FLACS).
Methods
This is a retrospective study of patients who underwent cataract extraction (CE) at our center between 1/1/2022 and 12/3131/2023. Data collected included age, gender, diabetic status, ketorolac use, and time from surgery to CME diagnosis. Patients were categorized into three groups. Group 1: traditional phacoemulsification with regular monofocal IOL. Group 2: FLACS with regular monofocal or toric IOL. Group 3: traditional phacoemulsification with LAL. Patients with chronic or unresolved acute CME pre-CE were excluded, as well as patient in whom CME developed 3 months or more post-CE, or who had combined vitrectomy. CME diagnosis was confirmed through clinical assessment and OCT imaging.
Results
The study included 522 eyes: 147 eyes (28%) in Group 1, 208 eyes (40%) in Group 2, and 167 eyes (32%) in Group 3. CME incidence was 1.4% in Group 1, 3.8% in Group 2, and 4.8% in Group 3. The difference between groups was not statistically significant (p > 0.05): Group 1 vs. Group 3 (p = 0.084), Group 1 vs. Group 2 (p = 0.163), and Group 2 vs. Group 3 (p = 0.231). The average time from surgery to CME detection was similar for Group 1 and 2 (24-25 days) and slightly longer for Group 3 (29 days). No significant differences were found in age, sex, diabetic status, or ketorolac use.
Conclusion
This study found no significant differences in CME incidence among patients receiving LAL vs monofocal IOL or FLACS vs traditional phacoemuslification. However, a larger sample may be needed to achieve statistical significance, essential for guiding lens selection and optimizing patient management.
Presenting Author
Sanam T. Shahrooz, MD
Co-Authors
Nicole Fram MD, Alice Jiang MS, MD
Purpose
To evaluate clinical and refractive outcomes as well as complication rates in patients undergoing scleral suture fixation versus intrascleral haptic fixation.
Methods
This is a retrospective case series of eyes undergoing scleral suture fixation (n=54) or intrascleral haptic fixation (n=73). Inclusion criteria: secondary IOL placement between 2020-2024. Exclusion criteria: Follow-up <3 months. Primary outcomes: UCDVA, BCDVA, inflammation for >3 months, development of new cystoid macular edema, retinal tear or detachment (RT/RD), vitreous hemorrhage (VH), hypotony, high IOP requiring filtering procedure, corneal edema, or IOL tilt/dislocation.
Results
Mean absolute refractive error for intrascleral haptic fixation (ISHF) was 0.44 versus 0.64 for scleral suture fixation (SSF). Other relevant results: No inflammation after 3 months in SSF vs 1.4% in ISHF. Cystoid macular edema rate was 16% in SSF vs 19% in ISHF. Retinal tear or detachment 1.4% in both SSF and ISHF. Vitreous hemorrhage 5.6% in SSF vs 1.4% in ISHF. No hypotony in ISHF vs 8.2% in SSF. High IOP requiring surgery 3.7% in SSF vs 2.7% in ISHF. No corneal edema requiring transplant in SSF vs 1.4% in ISHF. No IOL tilt/dislocation in SSF vs 6.8% in ISHF.
Conclusion
Small incision scleral suture fixation (SSF) and intrascleral haptic fixation (ISHF) show comparable refractive outcomes. SSF demonstrates a lower rate of IOL tilt and surgery for management of complications. ISHF has less vitreous hemorrhage and hypotony which may benefit patients on anticoagulation.
Presenting Author
Nicole S. Pichardo-Loera, MD
Co-Authors
Roberto Gonzalez-Salinas MD, PhD, Sabrina Munita MD
Purpose
To compare the refractive outcomes, as measured by OPD-Scan III, after three months of scleral-sutured intraocular lens implantation using either the four-point scleral fixation or the Yamane technique.
Methods
Non-randomized controlled study with prospective data collection. Patients included were both males and females with aphakia who were scheduled for scleral fixation of an intraocular lens at an ophthalmology hospital. Continuous variables are presented as means � standard deviations. Differences between continuous variables will be evaluated using either the Student's t-test or the Mann-Whitney test, depending on their distribution. The distribution of the variables will be assessed using the Shapiro-Wilk�test.
Results
We studied 27 eyes in the Gore-Tex group (8 women, 19 men) and 24 eyes in the Yamane group (11 women, 13 men). The mean age was 63 � 17.16 years in the Gore-Tex group and 67.4 � 13.46 years in the Yamane group. The mean spherical equivalent was -1.065 � 1.062 in the Gore-Tex group and -0.8229 � 2.250 in the Yamane group. No significant difference was found between groups (P = 0.6194) using t-test. The mean UDVA was 0.5764 � 0.3491 in the Gore-Tex group and 0.5121 � 0.9016 in the Yamane group (P = 0.9383 using Mann-Whitney test). For BCVA, the means were 0.4566 � 0.2986 and 0.4836 � 0.9433, respectively (P = 0.9524 using Mann-Whitney test).
Conclusion
Both techniques yield similar refractive outcomes, as well as comparable UDVA and BCVA, making them both viable options for aphakia correction. However, it is important to note that vision quality was not assessed in this study and could be influenced by various factors inherent to each technique.
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