- The Repeatability and Agreement of Two SS-OCT Optical Biometers in Adult Eyes Undergoing Cataract Surgery. [Journal Article]J Refract Surg. 2026 Sep; 42(9):e868-e877.JR
- CONCLUSIONS: In eyes undergoing cataract surgery, the Eye-star demonstrated superior repeatability to the IOLMaster for keratometry but notably inferior repeatability for most en face variables.
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- Comparative Accuracy of the Barrett Toric Calculator With or Without the Incorporation of Posterior Corneal Astigmatism and the Castrop Formula. [Journal Article]J Refract Surg. 2026 Sep; 42(9):e961-e967.JR
- CONCLUSIONS: The current study revealed comparable outcomes of the accuracy of cylindrical power calculation between the Barrett Toric and Castrop Calculators, both using Predicted and Measured PCA mode, although the Barrett Toric Calculator showed a lower PE than the Castrop Calculator in IOL spherical power calculation.
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- Viscoelastic-Assisted Patient Interface Docking: A Technical Optimization in LenSx Femtosecond Laser-Assisted Cataract Surgery. [Randomized Controlled Trial]J Refract Surg. 2026 Sep; 42(9):e954-e960.JR
- CONCLUSIONS: Viscoelastic-assisted patient interface docking in FLACS effectively elevates one-time docking success rate, reduces docking attempts, and shortens docking time.
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- The Effect of Dry Eye Treatment on Biomechanics in Refractive Surgery Candidates. [Journal Article]J Refract Surg. 2026 Sep; 42(9):e878-e886.JR
- CONCLUSIONS: Dry eye treatment can modify the biomechanical profile in mild subclinical dry eye, rendering improvements in TBI values that may reduce the risk for subsequent refractive surgery.
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- Report Laser Fluence in Lenticule Extraction as a Dual-Plane, Raster-Dependent Quantity. [Letter]J Refract Surg. 2026 Sep; 42(9):e985-e986.JR
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- Optical Character Recognition-based Biometry Scanner for Easy and Efficient Biometry Calculations. [Journal Article]J Refract Surg. 2026 Sep; 42(9):e978-e984.JR
- CONCLUSIONS: The Biometry Scanner provides a streamlined, accurate, and user-friendly solution for automating IOL power calculations. By eliminating manual transcription, it enhances accuracy, saves time, and promotes safer, more efficient preoperative cataract surgery planning.
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- Association Between Pseudoaccommodation Measured With the Salzburg Reading Desk Versus the Reading Chart in Pseudophakic Patients. [Journal Article]J Refract Surg. 2026 Sep; 42(9):e942-e953.JR
- CONCLUSIONS: Pseudoaccommodation is multifactorial, with the assessment method and nature of the visual stimulus (self-luminous backlit screen versus reflective printed chart) significantly influencing its incidence and predictive factors. Spherical aberration was the sole independent predictor for chart-based pseudoaccommodation, whereas spherical equivalent, mesopic pupil size, spherical aberration, and axial length were independent predictors for SRD-based pseudoaccommodation.
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- Visual Symptoms and Optic Clarity Disturbances Associated With Intraocular Lenses in U.S. Food and Drug Administration Device Reports. [Journal Article]J Refract Surg. 2026 Sep; 42(9):e968-e977.JR
- CONCLUSIONS: In MAUDE postoperative reports, multifocal and EDOF IOLs had a higher proportion of visual symptoms and specifically glare and halos, whereas monofocal IOLs had a higher proportion of later reported clarity issues. These findings reflect differences in reported events rather than population-level risk and may inform post-market surveillance priorities.
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- Preoperative Versus Intraoperative Detection of Asymptomatic EBMD in LASIK/SMILE: Risk of Recurrent Corneal Erosion Requiring PTK, PTK Success, and Need for Repeat PTK. [Journal Article]J Refract Surg. 2026 Sep; 42(9):e924-e932.JR
- CONCLUSIONS: With modern femtosecond laser platforms and careful preoperative assessment, femtosecond laser-assisted LASIK and SMILE can be performed safely in eyes with preoperatively detected asymptomatic EBMD. Eyes with preoperatively identified mild asymptomatic EBMD had a lower risk of recurrent erosion syndrome requiring PTK compared with eyes in which EBMD was only detected intraoperatively. Although a small proportion of eyes required PTK, postoperative epithelial complications were infrequent and effectively managed.
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- Anna. [Journal Article]J Refract Surg. 2026 Sep; 42(9):e867.JR
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- Outcomes of Keratorefractive Lenticule Extraction in Older Adults: A Multicenter Analysis. [Multicenter Study]J Refract Surg. 2026 Sep; 42(9):e933-e941.JR
- CONCLUSIONS: KLEx in patients aged 55 years or older provided favorable and stable outcomes but was inferior when compared to younger cohorts regarding efficacy, safety, and predictability. These findings point to clinically meaningful age-related corneal biomechanical changes and carry implications for both surgical planning and patient counseling.
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- Characteristics of the Haptic Position and Its Impact on Vault After Horizontal or Vertical ICL Implantation. [Journal Article]J Refract Surg. 2026 Sep; 42(9):e887-e894.JR
- CONCLUSIONS: No statistically significant differences in haptic distribution patterns were observed between the horizontal and vertical implantation groups, whereas haptic position demonstrated significant correlations with central vault.
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- Comparison of IOL Power Calculation Formulas After Sutureless Intrascleral One-Piece IOL Fixation: A Post-hoc Analysis. [Journal Article]J Refract Surg. 2026 Sep; 42(9):e916-e923.JR
- CONCLUSIONS: The Barrett Universal II and Kane formulas showed significantly better refractive prediction accuracy than third-generation formulas in eyes undergoing secondary sutureless intrascleral fixation of a one-piece foldable IOL. Axial length variability and IOL tilt significantly impacted PE across all formulas, underscoring the importance of biometric and anatomical factors in surgical planning.
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- Centration and Torsion Control Following Lenticule Creation With Keratorefractive Lenticule Extraction: Effect on Aberration and Astigmatism. [Journal Article]J Refract Surg. 2026 Sep; 42(9):e906-e915.JR
- CONCLUSIONS: Semi-automated centration and cyclotorsion control in SILK allows for precise alignment with comparative results to non-adjusted cases with respect to refractive, astigmatic, optical zone, or higher order aberration outcomes at 12 months.
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- Long-term Efficacy and Safety of the Implantable Collamer Lens in Eyes With an Anterior Chamber Depth of 2.6 to 2.8 mm. [Journal Article]J Refract Surg. 2026 Sep; 42(9):e895-e905.JR
- CONCLUSIONS: ICL implantation in eyes with an ACD of 2.6 to 2.8 mm demonstrated acceptable long-term viability, provided that rigorous endothelial monitoring is maintained.
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