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Current Trends in Cataract Surgery
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Current Trends in Cataract Surgery

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Methodology, Drug and Device Discovery".

Deadline for manuscript submissions: 15 May 2025 | Viewed by 2327

Special Issue Editors

Dr. Romina Fasciani

E-Mail Website
Guest Editor
Ophthalmology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
Interests: anterior-segment pathologies and surgeries; ocular surface; cataract surgery; corneal pathologies and surgeries; dry eye; corneal transplant
Dr. Paola Sasso

E-Mail Website
Guest Editor
Eye Clinic, Fondazione Policlinico Universitario Agostino Gemelli IRCCS Rome, Rome, Italy
Interests: retina pathologies and surgeries; cataract surgery; low vision; low vision rehabilitation; low vision cataract surgery; low vision IOLs

Special Issue Information

Dear Colleagues,

Cataract is a congenital or degenerative eye disease that leads to clouding of the lens. During the course of the disease, macules and clouded areas develop on the lens of the eye. As a result, it can cause impaired visual acuity and even blindness. The disease usually occurs at an older age. Currently, we are observing an increasing number of people suffering from this condition. Civilization diseases such as diabetes and hypertension are one of the predisposing factors for the accelerated development of cataract. Cataract can only be treated surgically with the implantation of a new lens. Today’s ophthalmology is facing this disease using modern surgical techniques such as femtosecond laser-assisted cataract surgery (FLACS) or the two-sided small-cut technique biaxial microincision surgery. Cataract surgery is performed frequently and is considered a safe procedure. However, undesirable effects such as dry eye syndrome can occur. Currently, cataract surgery not only has a rehabilitative aim to improve visual quality, but to increasingly compensate for refractive errors and increase independence from optical aids. This Special Issue aims at collect high-quality publications on cataract surgery that include, but are not limited to, cataract surgery technics, surgical approach to challenging cases and side effect prevention, adequate refractive power calculation, application of premium IOLs such toric and EDOF and monofocal plus IOLs and age-related macular degeneration special IOLs.

Dr. Romina Fasciani
Dr. Paola Sasso
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Personalized Medicine is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • refractive cataract surgery
  • visual quality
  • dry eye
  • side effects
  • advanced technology intraocular lenses
  • AMD IOLs

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Published Papers (2 papers)

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Research

13 pages, 1237 KiB  
Article
Toric Aberrometric Extended Depth of Focus Intraocular Lens: Visual Outcomes, Rotational Stability, Patients’ Satisfaction, and Spectacle Independence
by Erika Bonacci, Camilla Pagnacco, Marco Anastasi, Alessandra De Gregorio, Giorgio Marchini and Emilio Pedrotti
J. Pers. Med. 2025, 15(3), 88; https://doi.org/10.3390/jpm15030088 - 26 Feb 2025
Viewed by 979
Abstract
Objective: To evaluate visual outcomes, rotational stability, patients’ satisfaction, and spectacle independence after bilateral Toric extended depth of focus intraocular lens (EDOF IOL) implantation. Methods: Prospective observational study including cataract patients with bilateral corneal astigmatism between 0.75 and 3.00 D implanted with [...] Read more.
Objective: To evaluate visual outcomes, rotational stability, patients’ satisfaction, and spectacle independence after bilateral Toric extended depth of focus intraocular lens (EDOF IOL) implantation. Methods: Prospective observational study including cataract patients with bilateral corneal astigmatism between 0.75 and 3.00 D implanted with Toric EDOF IOLs. After three months distance corrected and uncorrected visual acuity at 4 m (DCVA and UDVA), 80 cm (DCI80VA and UI80VA), 67 cm (DCI67VA and UI67VA), and 40 cm (DCNVA and UNVA), IOL stability by Toric IOL Assistant tool (Osiris T, CSO, Florence, Italy), binocular defocus curves, contrast sensitivity (CS), halometry, reading performance, and subjective and objective (Root mean square-RMS, modulation transfer function-MTF, cut-off and point-spread-function-PSF-Strehl ratio) visual quality were evaluated. Results: Forty eyes from 20 astigmatic patients were enrolled. Mean refractive spherical equivalent and residual cylinder were −0.21 ± 0.74 D and 0.29 ± 0.31 D, respectively. No patients needed additional surgery due to IOL rotation. Binocular UDVA, UI80VA, UI67VA, and UNVA ≤ 0.2 logMAR was found in 90%, 95%, 85%, and 80%. Distance-corrected visual outcomes have overall shown higher performances. All visual acuities at defocus curves were ≤0.125 logMAR between +0.50 D and −2.00 D. PSF-Strehl ratio, MTF cut-off, RMS were 0.26 ± 0.28, 19.82 ± 12.35, 0.31 ± 0.17. Reading analysis reached 125.42 ± 27.21 words/minute, 92.56 ± 7.82, 0.17 ± 0.15 logMAR and 0.50 ± 0.11 logRAD for mean reading speed, visual acuity score, reading acuity, and critical print size, respectively. CS was higher in photopic conditions. Subjective spectacle independence was achieved in 80% of patients. Conclusions: Toric EDOF IOL showed rotational stability and reliable astigmatic correction. It provided spectacle independence and good performance from distance to near distance, reaching high patient satisfaction without undermining binocular quality of vision. Full article
(This article belongs to the Special Issue Current Trends in Cataract Surgery)
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8 pages, 659 KiB  
Article
Multifocal Electroretinography Changes in Patients with Late-Stage Age-Related Macular Degeneration (AMD) After Smaller-Incision New-Generation Implantable Miniature Telescope (SING IMT): A Case Series
by Luca Landini, Giacomo Boscia, Faustino Vidal-Aroca, Alfredo Niro, Valentina Pastore, Marina Piepoli, Pasquale Viggiano, Maria Oliva Grassi, Ermete Giancipoli, Maria Grazia Pignataro, Giovanni Alessio, Marc H. Levy, Giancarlo Sborgia and Francesco Boscia
J. Pers. Med. 2024, 14(12), 1119; https://doi.org/10.3390/jpm14121119 - 25 Nov 2024
Viewed by 775
Abstract
The smaller-incision new-generation implantable miniature telescope (SING IMT) represents an advancement over the previous model, WA-IMT, serving as a unilateral prosthetic device for patients with late-stage age-related macular degeneration (AMD). Purpose: This study aims to report changes in multifocal electroretinography (mfERG) 6 months [...] Read more.
The smaller-incision new-generation implantable miniature telescope (SING IMT) represents an advancement over the previous model, WA-IMT, serving as a unilateral prosthetic device for patients with late-stage age-related macular degeneration (AMD). Purpose: This study aims to report changes in multifocal electroretinography (mfERG) 6 months post–SING IMT implantation. Methods: In this case series, we prospectively evaluated a cohort of phakic patients with late-stage AMD who underwent SING IMT implantation at the Ophthalmology Unit, University of Bari Aldo Moro, Italy. We assessed best-corrected distance visual acuity (BCDVA) and best-corrected near visual acuity (BCNVA) preoperatively and at 6 months postoperatively. Additionally, mfERGs were conducted using Retimax (CSO, Florence, Italy). Results: All four treated patients showed an increase in both BCDVA and BCNVA at the 6-month follow-up. Additionally, all eyes demonstrated increased P1 density at this time point, with the greatest augmentation observed at the central fixation point, gradually diminishing across the five concentric rings. While all patients displayed a general increase in P1 amplitude, the third patient exhibited a slight decrease in the foveal region. Conclusions: In this case series with four cases, the new generation implantable miniature telescope, SING IMT, demonstrates promising results in enhancing mfERG parameters in patients with late-stage AMD. Six months post-surgery, we observed an augmentation in both P1 density and amplitude, predominantly at the fixation point and gradually tapering in the surrounding concentric rings. Full article
(This article belongs to the Special Issue Current Trends in Cataract Surgery)
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